Provider First Line Business Practice Location Address: 
SAN FRANCISCO DEPARTMENT OF PUBLIC HEALTH
    Provider Second Line Business Practice Location Address: 
1380 HOWARD STREET
    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: 
628-754-9528
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
02/08/2007