Provider First Line Business Practice Location Address:
60 INGALLS RD
Provider Second Line Business Practice Location Address:
CRAVEN ARMY HEALTH CLINIC
Provider Business Practice Location Address City Name:
FORT MONROE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23651-1032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-314-8018
Provider Business Practice Location Address Fax Number:
757-314-8030
Provider Enumeration Date:
12/29/2005