Provider First Line Business Practice Location Address:
1233 PLUMAS ST
Provider Second Line Business Practice Location Address:
STE A
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-671-2020
Provider Business Practice Location Address Fax Number:
530-671-6797
Provider Enumeration Date:
09/26/2006