Provider First Line Business Practice Location Address:
NAVY MEDICIN READINESS AND TRAINING COMMAND PEARL HARBO
Provider Second Line Business Practice Location Address:
480 CENTRAL AVENUE
Provider Business Practice Location Address City Name:
JBPHH
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-474-4242
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/22/2005