Provider First Line Business Practice Location Address:
1110 CIVIC CENTER BLVD
Provider Second Line Business Practice Location Address:
BLDG 202, SUITE C
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95993-3013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-673-7333
Provider Business Practice Location Address Fax Number:
530-673-3633
Provider Enumeration Date:
05/20/2009