Provider First Line Business Practice Location Address:
995 POTRERO AVE BLDG.80 WD 86
Provider Second Line Business Practice Location Address:
SFGH AIDS - PHP CLINIC
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:
415-206-8676
Provider Business Practice Location Address Fax Number:
415-502-4777
Provider Enumeration Date:
05/29/2007