Provider First Line Business Practice Location Address:
990 KLAMATH LN
Provider Second Line Business Practice Location Address:
SUITE 25
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95993-8962
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-755-0200
Provider Business Practice Location Address Fax Number:
530-755-3637
Provider Enumeration Date:
10/26/2006