Provider First Line Business Practice Location Address:
7300 N. FRESNO STREET
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE - OAK 3
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-448-4360
Provider Business Practice Location Address Fax Number:
559-448-4620
Provider Enumeration Date:
11/08/2006