Registry details
Type
Individual
Primary specialty
Internal Medicine
Enumerated
Apr 28, 2015
License(s)
A23794 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1601 13TH AVE | Sacramento, CA 95818-4149 | 916-448-3976 |
| LOCATION | 1601 13TH AVE | Sacramento, CA 95818-4149 | 916-448-3976 |
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