Provider First Line Business Practice Location Address:
444 PLUMAS BOULVARD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-749-3420
Provider Business Practice Location Address Fax Number:
530-749-3469
Provider Enumeration Date:
09/15/2010