Provider First Line Business Practice Location Address:
KADENA PEDIATRIC CLINIC
Provider Second Line Business Practice Location Address:
18MDG / SGHQ UNIT 5142
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96367-5142
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-630-4542
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/01/2006