Provider First Line Business Practice Location Address:
COMMANDER / MADIGAN ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
NUTRITION CARE DIVISION
Provider Business Practice Location Address City Name:
FORT LEWIS
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-0563
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2006