Provider First Line Business Practice Location Address:
280 WEST MACARTHUR BLVD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-752-6468
Provider Business Practice Location Address Fax Number:
510-752-8110
Provider Enumeration Date:
10/31/2006