Provider First Line Business Practice Location Address:
1900 MASSACHUSETTES AVENUE SE
Provider Second Line Business Practice Location Address:
CAPITOL HEALTH MANAGEMENT SERVICES LLC
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20003-2542
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
202-548-5100
Provider Business Practice Location Address Fax Number:
202-548-5180
Provider Enumeration Date:
04/15/2008