Provider First Line Business Practice Location Address:
U.S. NAVAL HOSPITAL GUAM, FARENHOLT STREET
Provider Second Line Business Practice Location Address:
BUILDING K-1
Provider Business Practice Location Address City Name:
AGANA HEIGHTS
Provider Business Practice Location Address State Name:
GUAM
Provider Business Practice Location Address Postal Code:
96919
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
671-344-9619
Provider Business Practice Location Address Fax Number:
671-344-9446
Provider Enumeration Date:
11/15/2005