Provider First Line Business Practice Location Address:
9985 SIERRA AVE
Provider Second Line Business Practice Location Address:
KAISER FONTANA, DEPT OB/GYN
Provider Business Practice Location Address City Name:
FONTANA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92335
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-427-5826
Provider Business Practice Location Address Fax Number:
909-429-5219
Provider Enumeration Date:
11/28/2007