Provider First Line Business Practice Location Address:
2445 ORO DAM BLVD
Provider Second Line Business Practice Location Address:
SUITE #8
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:
530-533-8204
Provider Business Practice Location Address Fax Number:
530-533-3161
Provider Enumeration Date:
09/09/2006