Provider First Line Business Practice Location Address:
250 WOOD ROAD
Provider Second Line Business Practice Location Address:
NAVAL HEALTH CLINIC
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-293-4378
Provider Business Practice Location Address Fax Number:
410-293-1190
Provider Enumeration Date:
07/24/2006