Provider First Line Business Practice Location Address:
USS GEORGE WASHINGTON
Provider Second Line Business Practice Location Address:
BOX 67 MEDICAL DEPARTMENT
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96650-2801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-653-2178
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/27/2012