Provider First Line Business Practice Location Address:
6127 HARWOOD AVE
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:
94618-1339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-985-7348
Provider Business Practice Location Address Fax Number:
510-985-7367
Provider Enumeration Date:
12/05/2006