Provider First Line Business Practice Location Address:
2950 WEBSTER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94609-3407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-893-5544
Provider Business Practice Location Address Fax Number:
510-763-8725
Provider Enumeration Date:
09/03/2006