Provider First Line Business Practice Location Address:
1 KAISER PLZ
Provider Second Line Business Practice Location Address:
23B
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94612-3610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-271-6601
Provider Business Practice Location Address Fax Number:
510-271-6642
Provider Enumeration Date:
09/12/2007