Provider First Line Business Practice Location Address:
2145 5TH AVENUE
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-534-3793
Provider Business Practice Location Address Fax Number:
530-534-3820
Provider Enumeration Date:
11/16/2006