Provider First Line Business Practice Location Address:
MEDICAL DEPARTMENT USS ABRAHAM LINCOLN
Provider Second Line Business Practice Location Address:
FPO-AP
Provider Business Practice Location Address City Name:
EVERETT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
96612-2872
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-304-5123
Provider Business Practice Location Address Fax Number:
425-304-5166
Provider Enumeration Date:
03/03/2006