Provider First Line Business Practice Location Address:
SURFACE WARFARE MEDICINE INSTITUTE
Provider Second Line Business Practice Location Address:
34101 FARENHOLT AVE
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
92134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-532-9476
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/15/2007