Provider First Line Business Practice Location Address:
1163 E 7TH ST
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:
95928-5903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-891-3000
Provider Business Practice Location Address Fax Number:
530-891-3220
Provider Enumeration Date:
10/29/2007