Provider First Line Business Practice Location Address:
7500 HOSPITAL DRIVE
Provider Second Line Business Practice Location Address:
METHODIST HOSPITAL
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:
916-423-6176
Provider Business Practice Location Address Fax Number:
916-423-5956
Provider Enumeration Date:
05/13/2008