Provider First Line Business Practice Location Address:
4860 Y STREET SUITE 3800
Provider Second Line Business Practice Location Address:
UC DAVIS HEALTH SYSTEM
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:
916-734-5292
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/20/2010