Provider First Line Business Practice Location Address:
U.S. NAVAL HOSPITAL GUAM
Provider Second Line Business Practice Location Address:
PSC 455 BOX 208
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96540
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
671-344-9679
Provider Business Practice Location Address Fax Number:
671-344-9305
Provider Enumeration Date:
12/20/2006