Provider First Line Business Practice Location Address:
1445 BUTTE HOUSE RD.
Provider Second Line Business Practice Location Address:
SUITE F
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95993-2749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-751-1122
Provider Business Practice Location Address Fax Number:
530-751-1122
Provider Enumeration Date:
08/29/2012