Provider First Line Business Practice Location Address:
NORTHEASTERN UNIVERSITY IN OAKLAND
Provider Second Line Business Practice Location Address:
5000 MACARTHUR BLVD
Provider Business Practice Location Address City Name:
OAKLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-376-9725
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/26/2024