Provider First Line Business Practice Location Address:
DALE ROAD MEDICAL OFFICES
Provider Second Line Business Practice Location Address:
3800 DALE ROAD, 2ND FLOOR
Provider Business Practice Location Address City Name:
MODESTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-557-6500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/26/2007