Guy Kiyokawa, deputy director, Defense Health Agency, left, speaks with Col. George Appenzeller, market manager, Puget Sound Military Health System, right, Oct. 3 at the annual Puget Sound MHS Performance Planning offsite at American Lake Conference Center at Joint Base Lewis-McChord, Washington.

---

Size: 3664px × 2288px
Photo credit: © AB Forces News Collection / Alamy / Afripics
License: Licensed
Model Released: No

Keywords: mhs, puget, sound