Provider First Line Business Practice Location Address:
USNS KANAWHA
Provider Second Line Business Practice Location Address:
MEDICAL DEPARTMENT
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09576-4075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-544-7171
Provider Business Practice Location Address Fax Number:
619-544-7170
Provider Enumeration Date:
06/19/2007