Provider First Line Business Practice Location Address:
PO BOX 1374
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:
95992-1374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-751-1071
Provider Business Practice Location Address Fax Number:
530-751-2722
Provider Enumeration Date:
01/12/2007