Provider First Line Business Practice Location Address:
NAVAL HOSPITAL
Provider Second Line Business Practice Location Address:
SANTA MARGARITA ROAD, BLDG H-100
Provider Business Practice Location Address City Name:
CAMP PENDLETON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92055-5195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-725-8882
Provider Business Practice Location Address Fax Number:
760-725-1267
Provider Enumeration Date:
12/18/2006