Provider First Line Business Practice Location Address:
4643 DOCK ROAD BLDG 524
Provider Second Line Business Practice Location Address:
UNDERWATER CONSTRUCTION TEAM TWO
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-982-6682
Provider Business Practice Location Address Fax Number:
805-982-3246
Provider Enumeration Date:
04/30/2012