Provider First Line Business Practice Location Address:
PATHOLOGY BUILDING
Provider Second Line Business Practice Location Address:
4400 V STREET
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-734-0298
Provider Business Practice Location Address Fax Number:
310-267-2685
Provider Enumeration Date:
03/26/2019