Provider First Line Business Practice Location Address:
NAVAL HOSPITAL CAMP PENDLETON
Provider Second Line Business Practice Location Address:
BUILDING H-100
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:
760-331-7203
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/22/2005