Provider First Line Business Practice Location Address:
414 K ST
Provider Second Line Business Practice Location Address:
SACRAMENTO DOWNTOWN PLAZA- LC MACY'S
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95814-3304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-554-7643
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2016