Provider First Line Business Practice Location Address:
NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DR
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:
92134-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
196-532-8942
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/05/2017