Provider First Line Business Practice Location Address:
2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY
Provider Second Line Business Practice Location Address:
NAOB SUITE 6003
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817-2201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-734-7289
Provider Business Practice Location Address Fax Number:
310-533-1841
Provider Enumeration Date:
08/20/2009