Provider First Line Business Practice Location Address:
840 WASHINGTON AVE
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:
95991-2833
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-790-3075
Provider Business Practice Location Address Fax Number:
530-790-3071
Provider Enumeration Date:
04/10/2008