Provider First Line Business Practice Location Address:
7300 N FRESNO ST
Provider Second Line Business Practice Location Address:
THE PERMANENTE MEDICAL GROUP, INC.
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93720-2941
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-448-5034
Provider Business Practice Location Address Fax Number:
559-448-5191
Provider Enumeration Date:
07/12/2006