Provider First Line Business Practice Location Address:
1ST MARINE LOGISTICS GROUP
Provider Second Line Business Practice Location Address:
MEDICAL BATTALION
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
92055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-201-6074
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2017