Provider First Line Business Practice Location Address:
101 BODIN CIR
Provider Second Line Business Practice Location Address:
FAMILY HEALTH CLINIC
Provider Business Practice Location Address City Name:
TRAVIS AFB
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94535-1809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-423-5349
Provider Business Practice Location Address Fax Number:
707-423-9193
Provider Enumeration Date:
06/27/2008