Provider First Line Business Practice Location Address:
1411 EAST 31ST STREET
Provider Second Line Business Practice Location Address:
HIGHLAND CARE PAVILION, TB CLINIC, 5TH FLOOR
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-437-6466
Provider Business Practice Location Address Fax Number:
510-535-7675
Provider Enumeration Date:
02/06/2019