Provider First Line Business Practice Location Address:
10535 HOSPITAL WAY
Provider Second Line Business Practice Location Address:
BLDG. 700, EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
MATHER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95655
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-843-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/21/2018