Provider First Line Business Practice Location Address:
400 PLUMAS BLVD
Provider Second Line Business Practice Location Address:
STE 200
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-749-3520
Provider Business Practice Location Address Fax Number:
530-749-5565
Provider Enumeration Date:
01/18/2017