Provider First Line Business Practice Location Address:
9260 LAGUNA SPRINGS DR
Provider Second Line Business Practice Location Address:
CCHCS PUBLIC HEALTH UNIT
Provider Business Practice Location Address City Name:
ELK GROVE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95758-7947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-261-5519
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2013