Provider First Line Business Practice Location Address:
1103 BUTTE HOUSE RD
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:
95991-3109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-329-8490
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/14/2020