Provider First Line Business Practice Location Address:
1141 E. 31ST STREET
Provider Second Line Business Practice Location Address:
QIC 22134 DEPT OF SURGERY
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-437-4401
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/06/2024