Provider First Line Business Practice Location Address:
4400 V STREET, PATHOLOGY BUILDING
Provider Second Line Business Practice Location Address:
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:
916-734-3331
Provider Business Practice Location Address Fax Number:
916-734-6468
Provider Enumeration Date:
04/26/2016