Provider First Line Business Practice Location Address:
2000 VALE RD
Provider Second Line Business Practice Location Address:
DEPT OF HYPERBARIC MEDICINE
Provider Business Practice Location Address City Name:
SAN PABLO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94806-3808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-970-5343
Provider Business Practice Location Address Fax Number:
510-970-5770
Provider Enumeration Date:
11/29/2006