Provider First Line Business Practice Location Address:
42 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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-538-7661
Provider Business Practice Location Address Fax Number:
530-538-6826
Provider Enumeration Date:
07/26/2016