Provider First Line Business Practice Location Address:
2595 CEANOTHUS AVE
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:
95973-7615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-893-9230
Provider Business Practice Location Address Fax Number:
530-892-9649
Provider Enumeration Date:
08/19/2006