Provider First Line Business Practice Location Address:
2956 PIEDMONT AVE
Provider Second Line Business Practice Location Address:
HENRY MASSIE MD
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94705-2344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-841-8107
Provider Business Practice Location Address Fax Number:
510-549-2023
Provider Enumeration Date:
05/20/2006