Provider First Line Business Practice Location Address:
DOWNTOWN VA SF CLINIC
Provider Second Line Business Practice Location Address:
401 3RD 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:
94107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-203-3573
Provider Business Practice Location Address Fax Number:
415-861-0323
Provider Enumeration Date:
09/05/2008