Provider First Line Business Practice Location Address:
1260 EAST 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:
95926-1021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-345-5900
Provider Business Practice Location Address Fax Number:
530-345-5995
Provider Enumeration Date:
08/22/2016