Provider First Line Business Practice Location Address:
95 KIRKHAM STREET
Provider Second Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA FI PROCTOR FOUNDATION
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0944
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-476-1441
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2008