Provider First Line Business Practice Location Address:
460 PLUMAS BLVD STE 205
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-749-3341
Provider Business Practice Location Address Fax Number:
530-749-3490
Provider Enumeration Date:
11/15/2007