Provider First Line Business Practice Location Address:
3146 TUPPER HALL
Provider Second Line Business Practice Location Address:
TUPPER HALL, HEALTH SCIENCES DRIVE
Provider Business Practice Location Address City Name:
DAVIS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-752-1757
Provider Business Practice Location Address Fax Number:
530-752-8692
Provider Enumeration Date:
10/01/2008