Provider First Line Business Practice Location Address:
2571 CALIFORNIA PARK DR
Provider Second Line Business Practice Location Address:
SUITE 120
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95928-4042
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-345-6888
Provider Business Practice Location Address Fax Number:
530-345-9988
Provider Enumeration Date:
08/25/2006