Provider First Line Business Practice Location Address:
1531 PLUMAS CT
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-2966
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-821-2020
Provider Business Practice Location Address Fax Number:
530-821-2038
Provider Enumeration Date:
07/31/2008