Provider First Line Business Practice Location Address:
2585 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:
95966-6005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-922-2020
Provider Business Practice Location Address Fax Number:
530-922-2021
Provider Enumeration Date:
08/03/2005