Provider First Line Business Practice Location Address:
NAVAL HOSPITAL, CAMP PENDLETON
Provider Second Line Business Practice Location Address:
BLDG H100
Provider Business Practice Location Address City Name:
CAMP PENDLETON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-725-8578
Provider Business Practice Location Address Fax Number:
760-725-8578
Provider Enumeration Date:
09/12/2005