Provider First Line Business Practice Location Address:
1445 BUTTE HOUSE RD STE A
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:
95993-2749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-366-4277
Provider Business Practice Location Address Fax Number:
707-203-0290
Provider Enumeration Date:
12/13/2007