Provider First Line Business Practice Location Address:
CRISTIANITOS ROAD BOX 5552223
Provider Second Line Business Practice Location Address:
NAVY EXPEDITIONARY MEDICAL TRAINING INSTITUTE
Provider Business Practice Location Address City Name:
MCB CAMP PENDLETON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92055-5225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-257-5131
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2006