Provider First Line Business Practice Location Address:
2841 RENDOVA ROAD
Provider Second Line Business Practice Location Address:
COMNAVSURFOR MEDICAL
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92155-5490
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-437-2860
Provider Business Practice Location Address Fax Number:
619-437-2700
Provider Enumeration Date:
01/27/2006