Provider First Line Business Practice Location Address:
8711 MACARTHUR BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-428-3556
Provider Business Practice Location Address Fax Number:
510-632-2576
Provider Enumeration Date:
02/22/2007