Provider First Line Business Practice Location Address:
KENNER ARMY HEALTH CLINIC
Provider Second Line Business Practice Location Address:
700 24TH STREET
Provider Business Practice Location Address City Name:
FT. GREGG- ADAMS
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23801-2426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-734-9128
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2006