Provider First Line Business Practice Location Address:
SEGH/RENAL CENTER, 1001 POTERO AVE
Provider Second Line Business Practice Location Address:
BLDG 100, 3RD FLOOR, RM 342
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:
415-206-2342
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2006