Provider First Line Business Practice Location Address:
USGA-HUMPHREYS
Provider Second Line Business Practice Location Address:
BLDG. 6370
Provider Business Practice Location Address City Name:
CAMP HUMPHREYS
Provider Business Practice Location Address State Name:
SOUTH KOREA
Provider Business Practice Location Address Postal Code:
96271
Provider Business Practice Location Address Country Code:
KP
Provider Business Practice Location Address Telephone Number:
210-536-6650
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2023