Provider First Line Business Practice Location Address:
2930 MCCLURE ST
Provider Second Line Business Practice Location Address:
#4
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94609-3556
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-463-4330
Provider Business Practice Location Address Fax Number:
510-465-4807
Provider Enumeration Date:
03/07/2016