Provider First Line Business Practice Location Address:
270 COUNTY HOSPITAL RD
Provider Second Line Business Practice Location Address:
SUITE 111
Provider Business Practice Location Address City Name:
QUINCY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95971-9126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-283-6330
Provider Business Practice Location Address Fax Number:
530-283-6110
Provider Enumeration Date:
12/18/2006