Provider First Line Business Practice Location Address:
3322 S GEORGE WASHINGTON BLVD
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:
95993-9730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-366-3996
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2025