Provider First Line Business Practice Location Address:
3300 CAPITOL AVE BLDG B
Provider Second Line Business Practice Location Address:
CITY OF FREMONT HUMAN SERVICES DEPT
Provider Business Practice Location Address City Name:
FREMONT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-574-2067
Provider Business Practice Location Address Fax Number:
510-574-2070
Provider Enumeration Date:
08/30/2007