Provider First Line Business Practice Location Address:
4860 Y STREET, SUITE 2500
Provider Second Line Business Practice Location Address:
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817-2307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-734-6900
Provider Business Practice Location Address Fax Number:
916-734-2158
Provider Enumeration Date:
05/12/2006