Provider First Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA CTR
Provider Second Line Business Practice Location Address:
350 PARNASSUS AVENUE BOX 0327
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-353-9088
Provider Business Practice Location Address Fax Number:
415-353-3889
Provider Enumeration Date:
09/20/2006