Provider First Line Business Practice Location Address:
3851 ROGER BROOKE DRIVE, BAMC
Provider Second Line Business Practice Location Address:
NUTRITION CARE DIV (ATTN: MCHF-DF)
Provider Business Practice Location Address City Name:
FORT SAM HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-916-5525
Provider Business Practice Location Address Fax Number:
210-916-1991
Provider Enumeration Date:
11/20/2008