Provider First Line Business Practice Location Address:
UNITED STATES NAVAL ACADEMY
Provider Second Line Business Practice Location Address:
MACDONOUGH HALL ATHLETIC TRAINING ROOM
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21412-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-293-4486
Provider Business Practice Location Address Fax Number:
410-293-2726
Provider Enumeration Date:
02/06/2006