Provider First Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Provider Second Line Business Practice Location Address:
500 PARNASSUS AVENUE, SUITE MU-405
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:
415-353-8196
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/21/2008