Provider First Line Business Practice Location Address:
1050 LIVE OAK 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:
95991-3415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-671-1740
Provider Business Practice Location Address Fax Number:
530-671-1380
Provider Enumeration Date:
12/11/2006