Provider First Line Business Practice Location Address:
UC DAVIS CANCER CENTER
Provider Second Line Business Practice Location Address:
4501 X STREET SUITE 3010
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95817-2229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-734-2843
Provider Business Practice Location Address Fax Number:
916-703-5267
Provider Enumeration Date:
06/25/2008