Provider First Line Business Practice Location Address:
200 MINOR HALL
Provider Second Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94720-2020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-643-2793
Provider Business Practice Location Address Fax Number:
510-643-5109
Provider Enumeration Date:
02/02/2007