Provider First Line Business Practice Location Address:
1215 PLUMAS ST STE 1200
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:
95991-3490
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-632-0329
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2021