Provider First Line Business Practice Location Address:
MARINE CORPS LOGISTICS BASE
Provider Second Line Business Practice Location Address:
BLDG 17
Provider Business Practice Location Address City Name:
BARSTOW
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92311-5008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-725-1621
Provider Business Practice Location Address Fax Number:
760-725-1661
Provider Enumeration Date:
06/07/2007