Provider First Line Business Practice Location Address:
1650 RESPONSE RD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE AT POINTWEST, MEDICINE DEPARTMENT
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95815-4807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-614-5243
Provider Business Practice Location Address Fax Number:
916-614-4922
Provider Enumeration Date:
07/05/2007