Provider First Line Business Practice Location Address:
1421 BARROWS RD
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:
94610-2534
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-735-7832
Provider Business Practice Location Address Fax Number:
510-350-8209
Provider Enumeration Date:
12/30/2009