Provider First Line Business Practice Location Address:
410 AUBURN FOLSOM RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95603-5515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-885-6975
Provider Business Practice Location Address Fax Number:
530-885-3871
Provider Enumeration Date:
10/24/2006