Provider First Line Business Practice Location Address:
5601 DEER VALLEY ROAD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE
Provider Business Practice Location Address City Name:
ANTIOCH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-813-3560
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/22/2007