Provider First Line Business Practice Location Address:
6600 BRUCEVILLE RD
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE PSYCHIATRY
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-525-6132
Provider Business Practice Location Address Fax Number:
916-525-6188
Provider Enumeration Date:
12/28/2006