Provider First Line Business Practice Location Address:
1424 LIVE OAK BLVD
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:
95991-2910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-671-2344
Provider Business Practice Location Address Fax Number:
530-671-7871
Provider Enumeration Date:
08/01/2006