Provider First Line Business Practice Location Address:
3075 ADELINE STREET, SUITE 280
Provider Second Line Business Practice Location Address:
LIFELONG MEDICAL CARE, ASHBY HEALTH CENTER
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-981-4100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/31/2015