Provider First Line Business Practice Location Address:
SURFACE WARFARE MEDICAL INSTITUTE
Provider Second Line Business Practice Location Address:
34101 FARENHOLT AVENUE, BUILDING 14
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92134-5291
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-532-6195
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/26/2013