Provider First Line Business Practice Location Address:
PHYSICAL EDUCATION, FIELD HOUSE,
Provider Second Line Business Practice Location Address:
U. S. NAVAL ACADEMY
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:
410-293-4486
Provider Business Practice Location Address Fax Number:
410-268-6814
Provider Enumeration Date:
09/01/2005