Provider First Line Business Practice Location Address:
355 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:
95965-5713
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-534-1495
Provider Business Practice Location Address Fax Number:
530-534-9508
Provider Enumeration Date:
12/30/2008