Provider First Line Business Practice Location Address:
1ST MEDICAL BATTALION
Provider Second Line Business Practice Location Address:
22 AREA BLDG. 22190
Provider Business Practice Location Address City Name:
OCEANSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-625-7120
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/24/2020