Provider First Line Business Practice Location Address:
18TH MEDICAL GROUP
Provider Second Line Business Practice Location Address:
UNIT 5142
Provider Business Practice Location Address City Name:
KADENA AIR BASE
Provider Business Practice Location Address State Name:
OKINAWA
Provider Business Practice Location Address Postal Code:
96368
Provider Business Practice Location Address Country Code:
JP
Provider Business Practice Location Address Telephone Number:
315-630-4780
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/08/2010