Provider First Line Business Practice Location Address:
2376 NORTH 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:
95926-1434
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-891-3080
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2025