Provider First Line Business Practice Location Address:
3555 CESAR CHAVEZ STREET
Provider Second Line Business Practice Location Address:
ST LUKES HOSPITAL
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-641-2140
Provider Business Practice Location Address Fax Number:
415-641-2150
Provider Enumeration Date:
07/20/2006