Provider First Line Business Practice Location Address:
SERVICE FIRST OF NORTHERN CALIFORNIA
Provider Second Line Business Practice Location Address:
3422 WEST. HAMMER LANE SUITE A,B,C
Provider Business Practice Location Address City Name:
STOCKTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-888-5088
Provider Business Practice Location Address Fax Number:
209-451-1334
Provider Enumeration Date:
04/13/2007