Provider First Line Business Practice Location Address:
2929 TELEGRAPH AVE
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:
94705-2017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-843-3201
Provider Business Practice Location Address Fax Number:
510-843-0308
Provider Enumeration Date:
11/05/2007