Provider First Line Business Practice Location Address:
1 EAGLE ROAD COAST GUARD ISLAND BLDG 1
Provider Second Line Business Practice Location Address:
USCG BASE ALAMEDA MEDICAL CLINIC
Provider Business Practice Location Address City Name:
ALAMEDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-437-3775
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2016