Provider First Line Business Practice Location Address:
SUTTER ROSEVILLE MEDICAL CENTER.
Provider Second Line Business Practice Location Address:
6, MEDICAL PLAZA DR
Provider Business Practice Location Address City Name:
ROSEVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95661-3037
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-878-2669
Provider Business Practice Location Address Fax Number:
916-878-2622
Provider Enumeration Date:
11/30/2006