Provider First Line Business Practice Location Address:
2140 SHATTUCK AVE
Provider Second Line Business Practice Location Address:
10TH FLOOR, HEALTH RESEARCH FOR ACTION, UC-BERKELEY SPH
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94704-1210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-643-1883
Provider Business Practice Location Address Fax Number:
510-643-7976
Provider Enumeration Date:
10/12/2007