Provider First Line Business Practice Location Address:
1134 PLUMAS ST
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:
95991-3409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-205-3991
Provider Business Practice Location Address Fax Number:
530-205-3991
Provider Enumeration Date:
08/01/2023