Provider First Line Business Practice Location Address:
333 TWIN DOLPHIN DR
Provider Second Line Business Practice Location Address:
2ND FLR KAISER REDWOOD CITY INPATIENT PSYCHIATRY ADMIN
Provider Business Practice Location Address City Name:
REDWOOD CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94065-1401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-299-4112
Provider Business Practice Location Address Fax Number:
650-299-2655
Provider Enumeration Date:
02/06/2007