Provider First Line Business Practice Location Address:
MANGINI RANCH ELEMENTARY
Provider Second Line Business Practice Location Address:
4640 SPARROW DRIVE
Provider Business Practice Location Address City Name:
FOLSOM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-294-2460
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2025