Provider First Line Business Practice Location Address:
1 EAGLE RD
Provider Second Line Business Practice Location Address:
HEALTH SERVICE DIVISION
Provider Business Practice Location Address City Name:
ALAMEDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94501-5100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-437-3615
Provider Business Practice Location Address Fax Number:
510-437-3034
Provider Enumeration Date:
10/03/2006