Provider First Line Business Practice Location Address:
601 AUBURN FOLSOM RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95603-5623
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-885-3739
Provider Business Practice Location Address Fax Number:
530-885-1380
Provider Enumeration Date:
04/25/2007