Provider First Line Business Practice Location Address:
4150 V ST SUITE 3500-NEPHROLOGY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817-1460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-734-3774
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2008