Provider First Line Business Practice Location Address:
2023 VALE RD STE 107
Provider Second Line Business Practice Location Address:
BROOKSIDE COMMUNITY HEALTH CENTER
Provider Business Practice Location Address City Name:
SAN PABLO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94806-3891
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-215-5001
Provider Business Practice Location Address Fax Number:
510-215-1115
Provider Enumeration Date:
03/05/2007