Provider First Line Business Practice Location Address:
NAVAL OPERATIONAL MEDICINE INSTITUTE BUILDING 632044
Provider Second Line Business Practice Location Address:
DETACHMENT NAVAL EXPEDITIONARY MEDICAL TRAINING INST.
Provider Business Practice Location Address City Name:
CAMP PENDLETON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92055-5223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-725-7121
Provider Business Practice Location Address Fax Number:
760-725-7108
Provider Enumeration Date:
03/19/2009