Provider First Line Business Practice Location Address:
2500 ALHAMBRA AVENUE
Provider Second Line Business Practice Location Address:
CONTRA COSTA REGIONAL MEDICAL CENTER AND HEALTH CENTERS
Provider Business Practice Location Address City Name:
MARTINEZ
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94553-3156
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-957-5429
Provider Business Practice Location Address Fax Number:
925-957-5401
Provider Enumeration Date:
10/17/2006