Provider First Line Business Practice Location Address:
145 MISSION RANCH BLVD.
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-896-2200
Provider Business Practice Location Address Fax Number:
530-896-2209
Provider Enumeration Date:
09/14/2007