Provider First Line Business Practice Location Address:
NAVY MEDICINE BRANCH CLINIC-MCRD 35000 GUADAL CANAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92140-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-524-8484
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2019