Provider First Line Business Practice Location Address:
644 NAPLES ST
Provider Second Line Business Practice Location Address:
CHULA VISTA NAVAL BRANCH CLINIC
Provider Business Practice Location Address City Name:
CHULA VISTA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91911-1636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-744-5355
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/22/2006