Provider First Line Business Practice Location Address:
90 HIGHLAND AVE
Provider Second Line Business Practice Location Address:
VHC SAN MARTIN FAMILY PRACTICE CLINIC
Provider Business Practice Location Address City Name:
SAN MARTIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95046-9504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-686-2217
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2006