Provider First Line Business Practice Location Address:
200 MUIR RD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE MEDICAL CENTER, HOSPICE DEPT.
Provider Business Practice Location Address City Name:
MARTINEZ
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94553-4614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-271-5853
Provider Business Practice Location Address Fax Number:
510-271-6642
Provider Enumeration Date:
11/22/2006