Provider First Line Business Practice Location Address:
455 ORO DAM BLVD E
Provider Second Line Business Practice Location Address:
STE, E
Provider Business Practice Location Address City Name:
OROVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95965-5733
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-533-6252
Provider Business Practice Location Address Fax Number:
530-533-6112
Provider Enumeration Date:
12/11/2006