Provider First Line Business Practice Location Address:
1013 PARDEE ST STE 211
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:
94710-2646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-666-8666
Provider Business Practice Location Address Fax Number:
510-740-3603
Provider Enumeration Date:
12/06/2006