Provider First Line Business Practice Location Address:
1882 TEHAMA AVE
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:
95965-3031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-933-3884
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/24/2026