Provider First Line Business Practice Location Address:
1321 NORTH C ST
Provider Second Line Business Practice Location Address:
MERCY CLINIC
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-446-3345
Provider Business Practice Location Address Fax Number:
916-444-0835
Provider Enumeration Date:
05/17/2006