Provider First Line Business Practice Location Address:
1800 MELVIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94602-2025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-487-1025
Provider Business Practice Location Address Fax Number:
925-931-0778
Provider Enumeration Date:
12/15/2006