Provider First Line Business Practice Location Address:
2001 THE ALAMEDA
Provider Second Line Business Practice Location Address:
SERVICE TEAM A OUTPATIENT ALAMEDA
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95126-2741
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-261-7135
Provider Business Practice Location Address Fax Number:
408-554-9960
Provider Enumeration Date:
11/17/2006