Provider First Line Business Practice Location Address:
1156 HIGH ST.
Provider Second Line Business Practice Location Address:
UNIVERISTY OF CALIFORNIA SANTA CR UZ STUDENT HEALTH
Provider Business Practice Location Address City Name:
SANTA CRUZ
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-459-1407
Provider Business Practice Location Address Fax Number:
831-459-3564
Provider Enumeration Date:
02/26/2007