Provider First Line Business Practice Location Address:
U.S. NAVAL HOSPITAL GUAM
Provider Second Line Business Practice Location Address:
FARENHOLT STREET BUILDING K-1
Provider Business Practice Location Address City Name:
AGANA HEIGHTS
Provider Business Practice Location Address State Name:
GU
Provider Business Practice Location Address Postal Code:
96919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
671-339-8086
Provider Business Practice Location Address Fax Number:
671-339-4169
Provider Enumeration Date:
01/11/2006