Provider First Line Business Practice Location Address:
MARINE CORPS BASE HAWAII (MCBH)
Provider Second Line Business Practice Location Address:
BLDG 221
Provider Business Practice Location Address City Name:
KAILUA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96734-9678
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-277-4971
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/16/2021