Provider First Line Business Mailing Address:
2100 POWELL ST. (MEDAMERICA, INC)
Provider Second Line Business Mailing Address:
SUITE 920
Provider Business Mailing Address City Name:
EMERYVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-350-2655
Provider Business Mailing Address Fax Number: