Provider First Line Business Practice Location Address:
36987 CA-299
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURNEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-335-4222
Provider Business Practice Location Address Fax Number:
530-335-2192
Provider Enumeration Date:
05/06/2026