Provider First Line Business Practice Location Address:
200 EL DORADO ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95603-4925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-613-8131
Provider Business Practice Location Address Fax Number:
916-339-7110
Provider Enumeration Date:
12/06/2006