Provider First Line Business Practice Location Address:
935 MARKET ST
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:
95991-4217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-358-9791
Provider Business Practice Location Address Fax Number:
530-674-4269
Provider Enumeration Date:
09/01/2010