Provider First Line Business Practice Location Address:
9040 REID ST
Provider Second Line Business Practice Location Address:
MADICAN ARMY MEDICAL CENTER
Provider Business Practice Location Address City Name:
TACOMA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-3066
Provider Business Practice Location Address Fax Number:
253-968-5573
Provider Enumeration Date:
04/04/2006