Provider First Line Business Practice Location Address:
6600 BRUCEVILLE RD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE OB/GYN
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95823-4671
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-688-6358
Provider Business Practice Location Address Fax Number:
916-688-2210
Provider Enumeration Date:
09/13/2005