Provider First Line Business Practice Location Address:
KAISER PERMANENTE 7300 WYNDHAM DRIVE
Provider Second Line Business Practice Location Address:
OUTPATIENT PSYCHIATRY
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95823-1337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-525-6180
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2006