Provider First Line Business Practice Location Address:
MADIGAN ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
MEDICAL NUTRITION THERAPY BRANCH
Provider Business Practice Location Address City Name:
FT LEWIS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-0544
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2006