Provider First Line Business Practice Location Address:
COMMANDING OFFICER, 3RD MARINE REGIMENT REIN
Provider Second Line Business Practice Location Address:
BOX 63005, REGIMENTAL AID STATION
Provider Business Practice Location Address City Name:
MCBH KANEOHE BAY
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96863-3005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-257-2356
Provider Business Practice Location Address Fax Number:
808-257-1019
Provider Enumeration Date:
01/19/2006