Provider First Line Business Practice Location Address:
NAVAL BRANCH HEALTH CLINIC BELLE CHASSE
Provider Second Line Business Practice Location Address:
400 RUSSELL AVE, BUILDING 41, ROOM 105C
Provider Business Practice Location Address City Name:
BELLE CHASSE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-678-3679
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/31/2007