Provider First Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
Provider Second Line Business Practice Location Address:
550 16TH ST, MISSION HALL, 4TH FLOOR
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-2549
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-476-5001
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2019