Provider First Line Business Practice Location Address:
CALIFORNIA STATE UNIVERSITY CHICO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95929-0235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-898-3572
Provider Business Practice Location Address Fax Number:
530-898-5382
Provider Enumeration Date:
08/20/2007