Provider First Line Business Practice Location Address:
2315 STOCKTON BLVD
Provider Second Line Business Practice Location Address:
DEPT OF ANESTHESIOLOGY & PAIN MEDICINE,SUITE 1200, PSSB
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-734-5048
Provider Business Practice Location Address Fax Number:
916-734-7980
Provider Enumeration Date:
10/04/2006