Provider First Line Business Practice Location Address:
1001 POTRERO AVE # 6M5
Provider Second Line Business Practice Location Address:
SFGH CHILDREN'S HEALTH CENTER
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94110-3518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-206-3613
Provider Business Practice Location Address Fax Number:
415-206-3610
Provider Enumeration Date:
05/29/2007