Provider First Line Business Practice Location Address:
451 E. HEALTH SCIENCES DR
Provider Second Line Business Practice Location Address:
SUITE 6510
Provider Business Practice Location Address City Name:
DAVIS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95616-8660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-752-2884
Provider Business Practice Location Address Fax Number:
530-754-6047
Provider Enumeration Date:
11/29/2005