Provider First Line Business Practice Location Address:
7000 EAST AVE L-723
Provider Second Line Business Practice Location Address:
HEALTH SERVICES DEPARTMENT
Provider Business Practice Location Address City Name:
LIVERMORE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-423-0591
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/20/2020