Provider First Line Business Practice Location Address:
BRANCH MEDICAL CLINIC NAF
Provider Second Line Business Practice Location Address:
BLDG 23
Provider Business Practice Location Address City Name:
EL CENTRO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-725-7918
Provider Business Practice Location Address Fax Number:
760-725-1461
Provider Enumeration Date:
06/04/2014