Provider First Line Business Practice Location Address:
2315 STOCKTON BLVD
Provider Second Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA 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:
916-734-3564
Provider Business Practice Location Address Fax Number:
916-734-7924
Provider Enumeration Date:
03/30/2006