Provider First Line Business Practice Location Address:
421 DEL NORTE AVENUE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-671-5858
Provider Business Practice Location Address Fax Number:
530-671-3268
Provider Enumeration Date:
03/19/2007