Provider First Line Business Practice Location Address:
7781 S FREEDOM RD
Provider Second Line Business Practice Location Address:
SAN JOAQUIN GEN HOSP DIALYSIS CLINIC
Provider Business Practice Location Address City Name:
STOCKTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95231-3203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-541-3000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/16/2007