Provider First Line Business Practice Location Address:
LAWRENCE J. ELLISON AMBULATORY CARE CENTER
Provider Second Line Business Practice Location Address:
4860 Y ST.
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:
800-282-3284
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2012