Provider First Line Business Practice Location Address:
1411 EAST 31ST STREET
Provider Second Line Business Practice Location Address:
ALAMEDA COUNTY MEDICAL CENTER - HIGHLAND CAMPUS
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94602-1092
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-699-8581
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/16/2012