Provider First Line Business Practice Location Address:
900 THARP RD
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:
95993-9159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-844-5655
Provider Business Practice Location Address Fax Number:
530-671-8725
Provider Enumeration Date:
03/30/2021