Provider First Line Business Practice Location Address:
2251 FLORIN RD STE 133
Provider Second Line Business Practice Location Address:
7654 22ND STREET HOUSE OF UMOJA/RAFA PORJECT
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95822-4491
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-421-1500
Provider Business Practice Location Address Fax Number:
916-421-1500
Provider Enumeration Date:
03/17/2008