Provider First Line Business Practice Location Address:
BLDG 39 LANSDOWNE RD
Provider Second Line Business Practice Location Address:
NAVAL BRANCH MEDICAL CLINIC
Provider Business Practice Location Address City Name:
LAKEHURST
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-993-4551
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/02/2008