Provider First Line Business Practice Location Address:
41 COUNTY CENTER DR
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:
95965-3334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-370-6573
Provider Business Practice Location Address Fax Number:
530-538-6391
Provider Enumeration Date:
05/14/2025