Provider First Line Business Practice Location Address:
3100 ORO DAM BLVD E
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:
95966-5183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-534-4568
Provider Business Practice Location Address Fax Number:
530-534-3657
Provider Enumeration Date:
02/06/2007