Provider First Line Business Practice Location Address:
1585 BUTTE HOUSE RD STE E
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:
95993-2200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-713-8264
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/04/2020