Provider First Line Business Practice Location Address:
700 24TH STREET, KENNER ARMY HEALTH CLINIC
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT LEE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23801-1720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-734-9623
Provider Business Practice Location Address Fax Number:
804-734-9188
Provider Enumeration Date:
08/12/2006