Provider First Line Business Practice Location Address:
9933 W HAYES ST
Provider Second Line Business Practice Location Address:
NATIONAL CENTER FOR TELEHEALTH & TECHNOLOGY, JBLM
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-563-4667
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2006