Provider First Line Business Practice Location Address:
1166 ESPLANADE
Provider Second Line Business Practice Location Address:
STE 1
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95926-3327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-894-0200
Provider Business Practice Location Address Fax Number:
530-894-7363
Provider Enumeration Date:
06/01/2005