Provider First Line Business Practice Location Address:
1600 EUREKA RD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE MEDICAL GROUP
Provider Business Practice Location Address City Name:
ROSEVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95661-3027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-784-4050
Provider Business Practice Location Address Fax Number:
916-746-4314
Provider Enumeration Date:
07/02/2006