Provider First Line Business Practice Location Address:
10831 COMBIE RD
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95602-8953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-728-3500
Provider Business Practice Location Address Fax Number:
530-728-3501
Provider Enumeration Date:
07/13/2006