Provider First Line Business Practice Location Address:
1895 LASSEN BLVD
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:
95993-8987
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-822-2900
Provider Business Practice Location Address Fax Number:
530-671-3422
Provider Enumeration Date:
09/02/2026