Provider First Line Business Practice Location Address:
1935 KIDDER AVENUE
Provider Second Line Business Practice Location Address:
ASSIST SOLANO OUTPATIENT SERVICES
Provider Business Practice Location Address City Name:
FAIRFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94533-3919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-425-2741
Provider Business Practice Location Address Fax Number:
707-425-2862
Provider Enumeration Date:
01/29/2007