Provider First Line Business Practice Location Address:
NAVAL HOSPITAL OKINAWA
Provider Second Line Business Practice Location Address:
TARAWA RD
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96362-0002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-578-0440
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2011