Provider First Line Business Practice Location Address:
2ND MARINE RAIDER BATTALION
Provider Second Line Business Practice Location Address:
BATTALION AID STATION
Provider Business Practice Location Address City Name:
CAMP LEJEUNE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28542-0183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-747-0736
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/24/2017