Provider First Line Business Practice Location Address:
SHRINERS HOSPITAL OF CHILDREN - NORTHERN CALIFORNIA
Provider Second Line Business Practice Location Address:
2425 STOCKTON BLVD., SUITE 517
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817-2215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-453-2191
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/15/2009