Provider First Line Business Practice Location Address:
470 PLUMAS BLVD
Provider Second Line Business Practice Location Address:
STE 103
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-5077
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-821-5110
Provider Business Practice Location Address Fax Number:
530-821-5114
Provider Enumeration Date:
05/11/2006