Provider First Line Business Practice Location Address:
357051 NASNI
Provider Second Line Business Practice Location Address:
COMMANDER NAVAL AIR FORCES FORCE HEALTH SERVICES N01H
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92135-7051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-545-1148
Provider Business Practice Location Address Fax Number:
619-767-7417
Provider Enumeration Date:
12/02/2011