Provider First Line Business Practice Location Address:
MAIN POST EXCHANGE,
Provider Second Line Business Practice Location Address:
BLDG. 5280
Provider Business Practice Location Address City Name:
FT. LEWIS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-964-3753
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2006