Provider First Line Business Practice Location Address:
131 W A ST STE 1
Provider Second Line Business Practice Location Address:
DIXON FAMILY PRACTICE
Provider Business Practice Location Address City Name:
DIXON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95620-3437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-635-1600
Provider Business Practice Location Address Fax Number:
707-635-1641
Provider Enumeration Date:
10/31/2005