Provider First Line Business Practice Location Address:
1ST BATTALION 8TH MARINES
Provider Second Line Business Practice Location Address:
PSC 20102
Provider Business Practice Location Address City Name:
CAMP LEJEUNE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28540
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-451-4437
Provider Business Practice Location Address Fax Number:
910-451-4437
Provider Enumeration Date:
06/01/2007