Provider First Line Business Practice Location Address:
75 N 13TH ST
Provider Second Line Business Practice Location Address:
SAN JOSE HEALTHCARE AND WELLNESS CENTER
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95112-3439
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-295-2665
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/10/2015