Provider First Line Business Practice Location Address:
1110 CIVIC CENTER BLVD STE 302
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:
95993-3017
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-692-5325
Provider Business Practice Location Address Fax Number:
530-692-5336
Provider Enumeration Date:
03/06/2026