Provider First Line Business Practice Location Address:
BRANCH HEALTH CLINIC NAVAL AIR FACILITY
Provider Second Line Business Practice Location Address:
BLDG 523
Provider Business Practice Location Address City Name:
EL CENTRO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92243-5015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-339-2674
Provider Business Practice Location Address Fax Number:
760-339-2661
Provider Enumeration Date:
06/02/2008