Provider First Line Business Practice Location Address:
18TH MEDICAL GROUP, UNIT 5268, KADENA AIR BASE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-634-3422
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/09/2021