Provider First Line Business Practice Location Address:
2390 E 20TH ST STE 1F60
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:
95928-9524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-332-4000
Provider Business Practice Location Address Fax Number:
530-893-6038
Provider Enumeration Date:
09/08/2022