Provider First Line Business Practice Location Address:
1352 COLUSA HWY STE C&D
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:
95993-9147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-632-8219
Provider Business Practice Location Address Fax Number:
916-500-0609
Provider Enumeration Date:
06/05/2024