Provider First Line Business Practice Location Address:
1701 DIVISADERO STREET, ROOM 4 20
Provider Second Line Business Practice Location Address:
UCSF, DEPARTMENT OF DERMATOLOGY
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-353-7880
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/10/2022