Provider First Line Business Practice Location Address:
3400 E. 2ND ST.
Provider Second Line Business Practice Location Address:
CAREONSITE, HEALTH SERVICES
Provider Business Practice Location Address City Name:
BENICIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-745-7571
Provider Business Practice Location Address Fax Number:
707-745-7903
Provider Enumeration Date:
05/01/2015