Provider First Line Business Practice Location Address:
415 ALTURAS STREET
Provider Second Line Business Practice Location Address:
SUITE #1
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-671-2080
Provider Business Practice Location Address Fax Number:
530-671-1159
Provider Enumeration Date:
12/19/2006