Provider First Line Business Practice Location Address:
650 POLK ST, NORTH EAST MEDICAL SERVICES
Provider Second Line Business Practice Location Address:
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-391-9686
Provider Business Practice Location Address Fax Number:
412-673-2150
Provider Enumeration Date:
04/28/2020