Provider First Line Business Practice Location Address:
650 RIO LINDO AVE STE 5
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:
95926-1808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-345-5111
Provider Business Practice Location Address Fax Number:
530-898-8544
Provider Enumeration Date:
11/08/2006