Provider First Line Business Practice Location Address:
995 POTRERO AVE, WARD 93
Provider Second Line Business Practice Location Address:
SAN FRANCISCO GENERAL HOSPITAL, OTOP
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-206-6522
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/23/2007