Provider First Line Business Practice Location Address:
700 24TH STREET
Provider Second Line Business Practice Location Address:
KENNER ARMY HEALTH CLINIC
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-734-9149
Provider Business Practice Location Address Fax Number:
877-874-1008
Provider Enumeration Date:
05/02/2006