Provider First Line Business Practice Location Address:
2767 OLIVE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OROVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95966-6118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-532-8584
Provider Business Practice Location Address Fax Number:
530-532-8272
Provider Enumeration Date:
07/18/2006