Provider First Line Business Practice Location Address:
185 EAST 7TH AVE
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-342-7564
Provider Business Practice Location Address Fax Number:
530-342-7585
Provider Enumeration Date:
09/27/2006