Provider First Line Business Practice Location Address:
3700 VACAVALLEY PARKWAY
Provider Second Line Business Practice Location Address:
KAISER VACAVILLE DEPT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
VACAVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-453-5341
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2007