Provider First Line Business Practice Location Address:
39400 PASEO PADRE PARKWAY
Provider Second Line Business Practice Location Address:
FL 3, SUITE 307, NEPHROLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
FREMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-749-3520
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/09/2009