Provider First Line Business Practice Location Address:
270 COUNTY HOSPITAL ROAD
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
QUINCY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95971
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-283-6330
Provider Business Practice Location Address Fax Number:
530-283-6110
Provider Enumeration Date:
03/11/2014