MEDESTATE INC.
Ambulatory Health at Broadway St, Vallejo, CA

License number
California 00A0627550
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: DR. KENNETH RICHARD BROOKS M.D.
Title: PRESIDENT / CEO
Phone: (707) 645-7229
Address
Address
3431 Broadway St SUITE A-8, Vallejo, CA 94503
National Provider ID: 1508946476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MEDESTATE INC. at bizstanding.com

MEDESTATE, INC

3431 Broadway SUITE A-8, American Canyon, CA 94503

Status:
Inactive
Registration:
Dec 22, 2003
State ID:
C2575314
Agent:
Kenneth Richard Brooks,American Canyon, CA 94503 (Physical)

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