Provider First Line Business Practice Location Address:
UCSF 505 PARNASSUS AVE M896
Provider Second Line Business Practice Location Address:
CAMPUS BOX 0780
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0780
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-353-8725
Provider Business Practice Location Address Fax Number:
415-353-8709
Provider Enumeration Date:
07/22/2014