Provider First Line Business Practice Location Address:
570 UNIVERSITY HALL SPC 1190
Provider Second Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA, BERKELEY
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94720-1190
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-643-0667
Provider Business Practice Location Address Fax Number:
510-841-6929
Provider Enumeration Date:
03/16/2007