Provider First Line Business Practice Location Address:
515 L ST
Provider Second Line Business Practice Location Address:
DOWNTOWN PLAZA SHOPPING CENTER #A1024
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95814-3340
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-554-1080
Provider Business Practice Location Address Fax Number:
916-554-1088
Provider Enumeration Date:
01/16/2007