Provider First Line Business Practice Location Address:
250 INERNATIONAL PARKWAY
Provider Second Line Business Practice Location Address:
KAISER SANTA TERESA HOSPITAL
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-972-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/02/2007