Provider First Line Business Practice Location Address:
558 CLAYTON STREET
Provider Second Line Business Practice Location Address:
HAIGHT ASHBURY FREE MEDICAL CLINIC
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-487-5638
Provider Business Practice Location Address Fax Number:
415-431-9909
Provider Enumeration Date:
08/07/2006