Provider First Line Business Practice Location Address:
548 S MARINE CORPS. DR.
Provider Second Line Business Practice Location Address:
FHP MEDICAL CENTER
Provider Business Practice Location Address City Name:
TAMUNING
Provider Business Practice Location Address State Name:
GU
Provider Business Practice Location Address Postal Code:
96913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
671-646-5824
Provider Business Practice Location Address Fax Number:
671-647-3556
Provider Enumeration Date:
04/01/2008