Provider First Line Business Practice Location Address:
NAVAL HOSPITAL, CAMP PENDLETON SANTA MARGARITA ROAD,
Provider Second Line Business Practice Location Address:
ATTENTION: CODE 094
Provider Business Practice Location Address City Name:
CAMP PENDLETON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92055-5191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-725-8882
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/22/2008