Provider First Line Business Practice Location Address:
441 COLUSA AVE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-4143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-329-8462
Provider Business Practice Location Address Fax Number:
530-329-8545
Provider Enumeration Date:
05/08/2013