Provider First Line Business Practice Location Address:
18TH MEDICAL GROUP
Provider Second Line Business Practice Location Address:
UNIT 5142 / KADENA AIR BASE OKINAWA
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96368
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
198-960-4817
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2020