Provider First Line Business Practice Location Address:
815 PLUMAS ST
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:
95991-4437
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-431-8074
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/10/2018