Provider First Line Business Practice Location Address:
DEPT. OF THE ARMY , USA MEDDAC-JAPAN
Provider Second Line Business Practice Location Address:
UNIT 45011
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
81464074127
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/10/2010