Provider First Line Business Practice Location Address:
3RD MARINES, REGIMENTAL AID STATION
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCBH KANEOHE BAY
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96863
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-294-8291
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2007