Provider First Line Business Practice Location Address:
COMMANDING OFFICER MEDICAL COMPANY
Provider Second Line Business Practice Location Address:
CSSG-3 BOX 63067 MCBH
Provider Business Practice Location Address City Name:
KANEOHE BAY
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96863
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-257-1572
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/22/2007