Provider First Line Business Practice Location Address:
1320 6TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORLAND
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95963-1641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-865-1200
Provider Business Practice Location Address Fax Number:
530-865-1202
Provider Enumeration Date:
01/08/2007