Provider First Line Business Practice Location Address:
11600 EDUCATION ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95602-2468
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-889-8884
Provider Business Practice Location Address Fax Number:
530-889-8880
Provider Enumeration Date:
08/30/2006