Provider First Line Business Practice Location Address:
MARY WALKER CLINIC, DEPT. OF BEHAVIORAL HEALTH
Provider Second Line Business Practice Location Address:
BLDG. 170
Provider Business Practice Location Address City Name:
FT. IRWIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-380-6302
Provider Business Practice Location Address Fax Number:
760-380-6469
Provider Enumeration Date:
11/09/2009