Provider First Line Business Practice Location Address:
2404 MARIGOLD AVE
Provider Second Line Business Practice Location Address:
LOMA VISTA MEDICAL THERAPY UNIT
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:
530-879-7408
Provider Business Practice Location Address Fax Number:
530-895-6640
Provider Enumeration Date:
04/02/2007