Provider First Line Business Practice Location Address:
200 CALIFORNIA DRIVE
Provider Second Line Business Practice Location Address:
HOLDERMAN HOSPITAL MEDICAL STAFF
Provider Business Practice Location Address City Name:
YOUNTVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94599-1412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-717-5703
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2008