Provider First Line Business Practice Location Address:
577 LAS PALMAS AVE.
Provider Second Line Business Practice Location Address:
HEALTH FOR ALL
Provider Business Practice Location Address City Name:
SACREMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95815
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-924-6703
Provider Business Practice Location Address Fax Number:
916-263-6981
Provider Enumeration Date:
05/26/2010