Provider First Line Business Practice Location Address:
866 PLUMAS ST
Provider Second Line Business Practice Location Address:
STE C
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-4022
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-751-1889
Provider Business Practice Location Address Fax Number:
530-674-3698
Provider Enumeration Date:
08/13/2007