Provider First Line Business Practice Location Address:
NAVAL HOSPITAL TWENTYNINE PALMS
Provider Second Line Business Practice Location Address:
1145 STURGIS RD
Provider Business Practice Location Address City Name:
TWENTYNINE PALMS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92278
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
607-830-2772
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/27/2016