Provider First Line Business Practice Location Address:
1054 HARTER RD.
Provider Second Line Business Practice Location Address:
#5
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95993-2653
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-749-0990
Provider Business Practice Location Address Fax Number:
530-755-9887
Provider Enumeration Date:
12/15/2006