Provider First Line Business Practice Location Address:
1528 PLUMAS CT STE 100
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:
95991-2973
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-763-4104
Provider Business Practice Location Address Fax Number:
530-434-6798
Provider Enumeration Date:
05/18/2006