Provider First Line Business Practice Location Address:
3RD MARINE RAIDER BATTALION
Provider Second Line Business Practice Location Address:
BLDG 614
Provider Business Practice Location Address City Name:
CAMP LEJEUNE, NC
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28542
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-748-1171
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/13/2019