Provider First Line Business Practice Location Address:
DEPT OF THE ARMY, BG SAMS, USAMEDDAC-JAPAN
Provider Second Line Business Practice Location Address:
MCJA-NUR UNIT 45011
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96343-5011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-263-8206
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2014