Provider First Line Business Practice Location Address:
2238 MONTE VISTA 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:
95966
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-538-7277
Provider Business Practice Location Address Fax Number:
530-892-2900
Provider Enumeration Date:
12/17/2009