Provider First Line Business Practice Location Address:
MCCHORD AIR FORCE BASE CLINIC
Provider Second Line Business Practice Location Address:
690 BARNES BLVD JBLM LAKEWOOD WA
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AA
Provider Business Practice Location Address Postal Code:
98438
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-982-9831
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2019