Provider First Line Business Practice Location Address:
505 PARNASSUS AVE
Provider Second Line Business Practice Location Address:
UCSF DEPARTMENT OF PEDIATRICS M691 BOX 0110
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-698-1218
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/31/2012