Provider First Line Business Practice Location Address:
570 UNIVERSITY HALL
Provider Second Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA, BERKELEY
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94720-1191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-643-0499
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/04/2007