Provider First Line Business Practice Location Address:
UCSF
Provider Second Line Business Practice Location Address:
521 PARNASSUS AVE, SUITE C-126
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-502-7104
Provider Business Practice Location Address Fax Number:
415-476-5020
Provider Enumeration Date:
05/23/2006