Provider First Line Business Practice Location Address:
NAVAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
100 BREWSTER BLVD.
Provider Business Practice Location Address City Name:
CAMP LEJEUNE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-450-4765
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/24/2011