Provider First Line Business Practice Location Address:
1215 PLUMAS ST
Provider Second Line Business Practice Location Address:
SUITE 1901
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-3455
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-751-7671
Provider Business Practice Location Address Fax Number:
530-751-7234
Provider Enumeration Date:
12/16/2005