Provider First Line Business Practice Location Address:
2335 LINCOLN ST
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:
95966-5329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-534-3590
Provider Business Practice Location Address Fax Number:
530-534-3591
Provider Enumeration Date:
01/03/2007