Provider First Line Business Mailing Address:
2100 POWELL STREET, SUITE 900
Provider Second Line Business Mailing Address:
CEP AMERICA/MEDAMERICA, INC.
Provider Business Mailing Address City Name:
EMERYVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94608-1844
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-350-2600
Provider Business Mailing Address Fax Number:
510-597-9219