Provider First Line Business Practice Location Address:
PSSB BUILDING, 4150 V STREET, #2100
Provider Second Line Business Practice Location Address:
DEPARTMENT OF EMERGENCY MEDICINE UC DAVIS SOM
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:
916-734-8568
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2007