Provider First Line Business Practice Location Address:
969 PLUMAS ST
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-4011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-751-3880
Provider Business Practice Location Address Fax Number:
530-751-5046
Provider Enumeration Date:
07/12/2006