Provider First Line Business Practice Location Address:
1100 MARSHALL WAY
Provider Second Line Business Practice Location Address:
MARSHALL MEDICAL CENTER
Provider Business Practice Location Address City Name:
PLACERVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-626-1166
Provider Business Practice Location Address Fax Number:
530-626-3826
Provider Enumeration Date:
04/19/2007