Provider First Line Business Practice Location Address:
1405 MAGNOLIA AVE
Provider Second Line Business Practice Location Address:
SUITE B
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:
530-894-3330
Provider Business Practice Location Address Fax Number:
530-894-1770
Provider Enumeration Date:
11/08/2006