Provider First Line Business Practice Location Address:
2240 GLADSTONE DR. #4
Provider Second Line Business Practice Location Address:
LA CLINICA - PITTSBURG
Provider Business Practice Location Address City Name:
PITTSBURG
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94565-5126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-431-1230
Provider Business Practice Location Address Fax Number:
707-442-6602
Provider Enumeration Date:
01/11/2007