Provider First Line Business Practice Location Address:
2315 STOCKTON BLVD RM 4302
Provider Second Line Business Practice Location Address:
PATIENT CARE SERVICES UC DAVIS MEDICAL CENTER
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-703-3023
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/27/2007