Provider First Line Business Practice Location Address:
473 CABRILLO ST
Provider Second Line Business Practice Location Address:
US ARMY HEALTH CLINIC
Provider Business Practice Location Address City Name:
PRESIDIO OF MONTEREY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93944-3201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-242-4331
Provider Business Practice Location Address Fax Number:
831-242-6719
Provider Enumeration Date:
05/10/2006