Provider First Line Business Practice Location Address:
201 WEST MACARTHUR BLVD
Provider Second Line Business Practice Location Address:
KAISER PERMANANTE
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94611-1504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-752-7475
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/24/2006