Provider First Line Business Practice Location Address:
NEUROLOGY UNIV OF CA
Provider Second Line Business Practice Location Address:
533 PARNASSUS AVE, ROOM U441K
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:
415-476-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2006