Provider First Line Business Practice Location Address:
1325 COTTONWOOD ST
Provider Second Line Business Practice Location Address:
DEPT OF PATHOLOGY
Provider Business Practice Location Address City Name:
WOODLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95695-5131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-634-7767
Provider Business Practice Location Address Fax Number:
916-672-1524
Provider Enumeration Date:
10/03/2006