| NPI | 1447315437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WESTON THOMPSON Independent Duty Corpsman 619-519-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |