Provider First Line Business Practice Location Address:
3553 WHIPPLE RD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE, BUILDING B, 3RD FLOOR, STATION 4
Provider Business Practice Location Address City Name:
UNION CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94587-1507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-675-2235
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/25/2019