Provider First Line Business Practice Location Address:
995 THARP RD STE B
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:
95993-8998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-556-8009
Provider Business Practice Location Address Fax Number:
530-410-6782
Provider Enumeration Date:
10/25/2021