DFAS-JFLL/IN

DAYTON, ZZ
NPI1164892949
Entity TypeOrganization
Authorized ContactISAAC HUMPHREY
Supervisor
937-257-9926
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: IN  01073515A)
Enumeration Date2015-10-06
Last Update Date2015-10-06
Business Address
DFAS-JFLL/IN
4881 SUGAR MAPLE DR
DAYTON, ZZ
Phone number: 937-257-9926
Mailing Address
DFAS-JFLL/IN
4881 SUGAR MAPLE DR
DAYTON, ZZ
Phone number: