Provider First Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Provider Second Line Business Practice Location Address:
1600 DIVISADERO ST
Provider Business Practice Location Address City Name:
SAN FRANSISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-567-6600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2019