Provider First Line Business Practice Location Address:
2270 LINCOLN ST STE 4
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:
95966-5475
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-984-3590
Provider Business Practice Location Address Fax Number:
530-282-4993
Provider Enumeration Date:
10/25/2025