Provider First Line Business Practice Location Address:
125 HWY 299 EAST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIEBER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96009
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-294-5700
Provider Business Practice Location Address Fax Number:
530-294-5701
Provider Enumeration Date:
01/11/2012