Provider First Line Business Practice Location Address:
1650 RESPONSE RD
Provider Second Line Business Practice Location Address:
3RD FLOOR-GENETICS
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95815-4807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-614-4988
Provider Business Practice Location Address Fax Number:
916-614-4768
Provider Enumeration Date:
02/10/2006