Provider First Line Business Practice Location Address:
2617 K ST
Provider Second Line Business Practice Location Address:
#250 SUSAN CIMINELLI MFT
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-716-3040
Provider Business Practice Location Address Fax Number:
916-443-0943
Provider Enumeration Date:
08/30/2006