Provider First Line Business Practice Location Address:
COMMANDING OFFICER, NAVAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
100 BREWSTER BLVD
Provider Business Practice Location Address City Name:
CAMP LEJEUNE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28547-2210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-451-2208
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2023