Provider First Line Business Practice Location Address:
276 INTERNATIONAL CR.
Provider Second Line Business Practice Location Address:
FAMILY HEALTH CENTER
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-362-4740
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2006