Provider First Line Business Practice Location Address:
18 MEDICAL COMMAND
Provider Second Line Business Practice Location Address:
EDIS UNIT 15281
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96205-0054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
7384422
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2005