Provider First Line Business Practice Location Address:
PEDIATRIC INFECTIOUS DISEASES
Provider Second Line Business Practice Location Address:
TICON II BUILDING, 2516 STOCKTON BLVD.
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:
858-204-6891
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/09/2015