Provider First Line Business Practice Location Address:
NAVAL HOSPITAL, CAMP PENDLETON
Provider Second Line Business Practice Location Address:
BLDG H100, #555191, ATTN: CODE 094
Provider Business Practice Location Address City Name:
CAMP PENDLETON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92055-5191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-339-3100
Provider Business Practice Location Address Fax Number:
888-999-1860
Provider Enumeration Date:
04/11/2006