Provider First Line Business Practice Location Address:
471 AINSLEY AVE
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:
95991-4105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-755-3200
Provider Business Practice Location Address Fax Number:
530-755-3205
Provider Enumeration Date:
10/23/2020