Provider First Line Business Practice Location Address:
917 THE ALAMEDA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94707-2301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-525-2266
Provider Business Practice Location Address Fax Number:
510-525-9429
Provider Enumeration Date:
02/22/2007