Provider First Line Business Practice Location Address:
NAVAL HEALTH CLINIC ANNAPOLIS
Provider Second Line Business Practice Location Address:
695 KINKAID ROAD
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21402-1006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-293-2273
Provider Business Practice Location Address Fax Number:
410-293-1163
Provider Enumeration Date:
10/03/2005