Provider First Line Business Practice Location Address:
USS VANDEGRIFT FFG 48
Provider Second Line Business Practice Location Address:
NAVAL STATION 32ND ST
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92136-2007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-556-4740
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2014