Provider First Line Business Practice Location Address:
18 MEDICAL OPERATIONS SQ FFM1N0(PAF)
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KADENA
Provider Business Practice Location Address State Name:
OKINAWA
Provider Business Practice Location Address Postal Code:
96368-0000
Provider Business Practice Location Address Country Code:
JP
Provider Business Practice Location Address Telephone Number:
011816117304780
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/24/2006