Provider First Line Business Practice Location Address:
5750 FOOTHILL BLVD
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:
94605-1304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-569-9900
Provider Business Practice Location Address Fax Number:
510-569-9903
Provider Enumeration Date:
12/14/2007