Provider First Line Business Practice Location Address:
US FLEET FORCES COMMAND
Provider Second Line Business Practice Location Address:
USS JFK (CVN79)
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23551-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-836-3644
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/28/2012