Provider First Line Business Practice Location Address:
1002 LIVE OAK BLVD
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-4028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-673-2100
Provider Business Practice Location Address Fax Number:
530-674-2414
Provider Enumeration Date:
08/12/2009