Provider First Line Business Practice Location Address:
481 PLUMAS BLVD
Provider Second Line Business Practice Location Address:
#104
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-5075
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-671-2883
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2011