Provider First Line Business Practice Location Address:
KAISER PERMANENTE MEDICAL GROUP 3975 OLD REDWOOD HWY.
Provider Second Line Business Practice Location Address:
MOB 5 - OUTPATIENT REHAB
Provider Business Practice Location Address City Name:
SANTA ROSA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-566-5844
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/28/2011