Provider First Line Business Practice Location Address:
415 ALTURAS ST STE 5
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:
95991-4144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-742-0365
Provider Business Practice Location Address Fax Number:
530-742-3338
Provider Enumeration Date:
03/23/2007