Provider First Line Business Practice Location Address:
601 DUBOCE AVE
Provider Second Line Business Practice Location Address:
CPMC DEPT OF PSYCHIATRY, FLOOR 3
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:
415-600-3510
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/11/2019