Provider First Line Business Practice Location Address:
500 BRIDGE ST
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:
95991-3801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-822-5225
Provider Business Practice Location Address Fax Number:
530-822-5002
Provider Enumeration Date:
03/02/2007