Provider First Line Business Practice Location Address:
975 SERENO DRIVE
Provider Second Line Business Practice Location Address:
MINOR INJURY CENTER, KAISER MEDICAL CENTER
Provider Business Practice Location Address City Name:
VALLEJO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94589
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-518-2297
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2008