Provider First Line Business Practice Location Address:
1231 PLUMAS ST
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:
95991-3410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-844-5675
Provider Business Practice Location Address Fax Number:
916-406-2388
Provider Enumeration Date:
06/25/2020