Provider First Line Business Practice Location Address:
NAVAL HOSPTIAL, NEUROLOGY DEPARTMENT
Provider Second Line Business Practice Location Address:
BOX 555191
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-725-1384
Provider Business Practice Location Address Fax Number:
760-725-1411
Provider Enumeration Date:
03/15/2006