Provider First Line Business Practice Location Address:
1388 PLUMMER ST PRESIDIO OF MONTEREY
Provider Second Line Business Practice Location Address:
CPAC, BLDG 277
Provider Business Practice Location Address City Name:
MONTEREY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93944-5006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-242-6754
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/09/2007