Provider First Line Business Practice Location Address:
950 THARP RD STE 1302
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:
95993-8351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-751-1225
Provider Business Practice Location Address Fax Number:
530-751-9863
Provider Enumeration Date:
06/16/2011