Provider First Line Business Practice Location Address:
4TH AND INNER LOOP DRIVE
Provider Second Line Business Practice Location Address:
WEED ARMY COMMUNITY HOSPITAL BUILDING 166
Provider Business Practice Location Address City Name:
FORT IRWIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92310-5109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-380-4048
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/05/2007