Provider First Line Business Practice Location Address:
90 VAN NESS AVE
Provider Second Line Business Practice Location Address:
CENTRAL CITY OLDER ADULT 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:
94102-6013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-558-5998
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/22/2010