Provider First Line Business Practice Location Address:
1111 HIGH STREET
Provider Second Line Business Practice Location Address:
STE A PMM INC
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-885-5177
Provider Business Practice Location Address Fax Number:
530-885-8416
Provider Enumeration Date:
06/22/2007