Provider First Line Business Practice Location Address:
225 30TH ST - ON LOK LIFEWAYS
Provider Second Line Business Practice Location Address:
2ND 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:
94131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-550-2232
Provider Business Practice Location Address Fax Number:
415-642-1135
Provider Enumeration Date:
08/03/2011