Provider First Line Business Practice Location Address:
1511 BUTTE HOUSE RD
Provider Second Line Business Practice Location Address:
STE A
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-755-3100
Provider Business Practice Location Address Fax Number:
530-755-3121
Provider Enumeration Date:
06/13/2007