Provider First Line Business Practice Location Address:
1420 N. TRACY BLVD
Provider Second Line Business Practice Location Address:
SUTTER TRACY COMMUNITY HOSPITAL
Provider Business Practice Location Address City Name:
TRACY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95376-3497
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-833-2456
Provider Business Practice Location Address Fax Number:
209-832-6510
Provider Enumeration Date:
12/19/2006