Provider First Line Business Practice Location Address:
4701 X ST
Provider Second Line Business Practice Location Address:
UC DAVIS IMAGING RESEARCH CENTER
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817-2219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-734-7927
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/06/2013