Provider First Line Business Practice Location Address:
1650 RESPONSE RD
Provider Second Line Business Practice Location Address:
HEALTH EDUCATION DEPARTMENT
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95815-4807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-607-1650
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/28/2011