Provider First Line Business Practice Location Address:
710 C STREET SUITE#8
Provider Second Line Business Practice Location Address:
MARIN OUTPATIENT&RECOVERYSERVICES
Provider Business Practice Location Address City Name:
SANRAFAEL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-524-8521
Provider Business Practice Location Address Fax Number:
415-785-4023
Provider Enumeration Date:
05/12/2017