Provider First Line Business Practice Location Address:
2445 ORO DAM BLVD E STE 1
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:
95966-6035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-533-9122
Provider Business Practice Location Address Fax Number:
530-534-1753
Provider Enumeration Date:
12/10/2020