Provider First Line Business Practice Location Address:
3D MARDIV DET
Provider Second Line Business Practice Location Address:
REGIMENTAL AID STATION
Provider Business Practice Location Address City Name:
M C B H KANEOHE BAY
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96863
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-343-7780
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/21/2009