Provider First Line Business Practice Location Address:
1531 PLUMAS CT
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:
95991-2960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-674-9737
Provider Business Practice Location Address Fax Number:
530-674-9734
Provider Enumeration Date:
06/22/2006