Provider First Line Business Practice Location Address:
1650 CREEKSIDE DRIVE
Provider Second Line Business Practice Location Address:
DEPT. OF PATHOLOGY
Provider Business Practice Location Address City Name:
FOLSOM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95630-3400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-983-7458
Provider Business Practice Location Address Fax Number:
916-672-1524
Provider Enumeration Date:
05/12/2006