Provider First Line Business Practice Location Address:
RAYMOND W BLISS ARMY HEALTH CENTER
Provider Second Line Business Practice Location Address:
2240 E. WINROW AVENUE
Provider Business Practice Location Address City Name:
FORT HUACHUCA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-556-8214
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2006