Provider First Line Business Practice Location Address:
2500 ALHAMBRA AVE
Provider Second Line Business Practice Location Address:
CONTRA COSTA REGIONAL MED CTR & HEALTH CTRS
Provider Business Practice Location Address City Name:
MARTINEZ
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94553-3156
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-370-5110
Provider Business Practice Location Address Fax Number:
925-370-5142
Provider Enumeration Date:
11/08/2006