Provider First Line Business Practice Location Address:
NORFOLK NAVAL SHIPYARD BRANCH HEALTH CLINIC
Provider Second Line Business Practice Location Address:
BLDG 277
Provider Business Practice Location Address City Name:
PORTSMOUTH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23709-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-314-6912
Provider Business Practice Location Address Fax Number:
757-314-6946
Provider Enumeration Date:
01/26/2006