Provider First Line Business Practice Location Address:
5755 COTTLE ROAD, BUILDING #6
Provider Second Line Business Practice Location Address:
TPMG REGIONAL GENETICS LABORATORY
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95123
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-972-3352
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2006