Provider First Line Business Practice Location Address:
NAVAL HOSPITAL CAMP PENDLETON
Provider Second Line Business Practice Location Address:
H100 SANTA MARGARITA RD
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AA
Provider Business Practice Location Address Postal Code:
92055-5191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-725-9429
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/11/2009