Provider First Line Business Practice Location Address:
KADENA AIR FORCE BASE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96368-5142
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-634-3272
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/04/2021