Provider First Line Business Practice Location Address:
NMRTC NAVAL HOSPITAL TWENTYNINE PALMS
Provider Second Line Business Practice Location Address:
1145 STURGIS ROAD
Provider Business Practice Location Address City Name:
29 PALMS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92278-8275
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-830-2117
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2016