Provider First Line Business Practice Location Address:
US NAVAL HOSPITAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PSC 475 AP
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
45-816-8735
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2006