Provider First Line Business Practice Location Address:
1532 CHANDLER WAY
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-558-4010
Provider Business Practice Location Address Fax Number:
530-674-4105
Provider Enumeration Date:
06/02/2015