Provider First Line Business Practice Location Address:
OBIC CLINIC
Provider Second Line Business Practice Location Address:
1380 HOWARD ST STE. 2
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-254-8192
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/26/2019