Provider First Line Business Practice Location Address:
NAVAL MEDICAL CENTER SAN DIEGO
Provider Second Line Business Practice Location Address:
38400 BOB WILSON DR.
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92134-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-457-0965
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2018