Provider First Line Business Practice Location Address:
874 PLUMAS ST STE C
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:
95991-4023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-443-9151
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/18/2020