Provider First Line Business Practice Location Address:
2711 ALCATRAZ AVE STE 5
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:
94705-2726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-214-3518
Provider Business Practice Location Address Fax Number:
510-296-7778
Provider Enumeration Date:
06/11/2011