Provider First Line Business Practice Location Address:
3444 ELMER 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:
95993-9605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-671-1280
Provider Business Practice Location Address Fax Number:
530-671-1280
Provider Enumeration Date:
05/03/2007