Provider First Line Business Practice Location Address:
CAMP PENDLETON NORTH
Provider Second Line Business Practice Location Address:
52 AREA SMART CLINIC
Provider Business Practice Location Address City Name:
OCEANSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-574-6049
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2021