Provider First Line Business Practice Location Address:
2500 MOWRY AVE
Provider Second Line Business Practice Location Address:
WASHINGTON HOSPITAL, ATTN: SPEECH THERAPY
Provider Business Practice Location Address City Name:
FREMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94538-1605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-791-3450
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2008