Provider First Line Business Practice Location Address:
2173 HARBOR BAY PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALAMEDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94502-3019
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-864-4199
Provider Business Practice Location Address Fax Number:
510-864-4196
Provider Enumeration Date:
06/24/2005