Provider First Line Business Practice Location Address:
BRANCH HEALTH CLINIC PSNS
Provider Second Line Business Practice Location Address:
1400 FARRAGU AVE
Provider Business Practice Location Address City Name:
BREMERTON
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98314-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-476-2572
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/28/2006