Provider First Line Business Practice Location Address:
360 E 1ST 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:
95928-5402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-342-8464
Provider Business Practice Location Address Fax Number:
530-342-7924
Provider Enumeration Date:
07/12/2006