Provider First Line Business Practice Location Address:
SURFACE WARFARE MEDICINE INSTITUTE
Provider Second Line Business Practice Location Address:
50 ROSECRANS ST. BLDG. 500
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-553-0097
Provider Business Practice Location Address Fax Number:
619-553-8310
Provider Enumeration Date:
01/20/2006