Provider First Line Business Practice Location Address:
400 PARNASSUS AVE. A-68
Provider Second Line Business Practice Location Address:
DEPARTMENT OF REHABILITATIVE SERVICES, BOX 0228
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-353-1756
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/18/2016