Provider First Line Business Practice Location Address:
9040 JACKSON AVE OB/GYN CLINIC FRONT DESK
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOINT BASE LEWIS MCCHORD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98431-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-1406
Provider Business Practice Location Address Fax Number:
253-968-3510
Provider Enumeration Date:
01/18/2007