Provider First Line Business Practice Location Address:
HHC 121 GENERAL HOSPITAL
Provider Second Line Business Practice Location Address:
BOX 393
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
7375575
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2005