Provider First Line Business Practice Location Address:
2450 ORO DAM BLVD E
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:
95966-6052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-712-2171
Provider Business Practice Location Address Fax Number:
530-712-2149
Provider Enumeration Date:
07/17/2006