Provider First Line Business Practice Location Address:
USNH OKINAWA
Provider Second Line Business Practice Location Address:
PSC 482
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96362-1600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
011816117430228
Provider Business Practice Location Address Fax Number:
011816117430228
Provider Enumeration Date:
10/09/2009