Provider First Line Business Practice Location Address:
ROBERT E BUSH NAVAL HOSPITAL
Provider Second Line Business Practice Location Address:
1145 STURGIS RD
Provider Business Practice Location Address City Name:
TWENTY NINE PALMS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92278
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-319-8754
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/08/2021