| NPI | 1801333992 |
|---|---|
| Former Legal Business Name | NAVAL HEALTH CLINIC BALBOA |
| Entity Type | Organization |
| Authorized Contact | MIRA LEE Rdh 224-381-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |