Provider First Line Business Practice Location Address:
855 HARTER PKWY
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:
95993-9453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-674-4261
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2026