Provider First Line Business Practice Location Address:
400 PLUMAS BLVD
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-5081
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-674-7214
Provider Business Practice Location Address Fax Number:
530-674-9238
Provider Enumeration Date:
02/15/2007