Provider First Line Business Practice Location Address:
2272 SAN PABLO AVE
Provider Second Line Business Practice Location Address:
HCHP ST.VINCENT'S STABLE SITE CLINIC
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94612-1321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-532-1930
Provider Business Practice Location Address Fax Number:
510-532-1930
Provider Enumeration Date:
03/25/2010