Provider First Line Business Practice Location Address:
1220 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:
94502-6501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-780-3163
Provider Business Practice Location Address Fax Number:
510-864-5254
Provider Enumeration Date:
02/07/2014