Provider First Line Business Practice Location Address:
NAVAL HOSPITAL TWENTYNINE PALMS
Provider Second Line Business Practice Location Address:
1145 STURGIS ROAD
Provider Business Practice Location Address City Name:
YUCCA VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92278
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-830-2002
Provider Business Practice Location Address Fax Number:
760-830-2389
Provider Enumeration Date:
11/09/2006