Provider First Line Business Practice Location Address:
NAVAL CLINIC PORT HUENEME
Provider Second Line Business Practice Location Address:
162 1ST ST
Provider Business Practice Location Address City Name:
PORT HUENEME
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93043-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-522-6195
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/09/2009