Provider First Line Business Practice Location Address:
10850 MACARTHUR BL.
Provider Second Line Business Practice Location Address:
STE. 200
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-875-2300
Provider Business Practice Location Address Fax Number:
510-875-2310
Provider Enumeration Date:
06/01/2007