Provider First Line Business Practice Location Address: 
NAVAL HOSPITAL OKINAWA
    Provider Second Line Business Practice Location Address: 
CHATAN, NAKAGAMI DISTRICT, OKINAWA , JAPAN
    Provider Business Practice Location Address City Name: 
FPO
    Provider Business Practice Location Address State Name: 
AP
    Provider Business Practice Location Address Postal Code: 
00904
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
703-398-5408
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
02/18/2015