Provider First Line Business Practice Location Address:
700 W ONSTOTT FRONTAGE RD STE C
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:
95991-3511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-673-3160
Provider Business Practice Location Address Fax Number:
530-673-2695
Provider Enumeration Date:
06/06/2014