Provider First Line Business Practice Location Address:
1331 DOWNER 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:
95965
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-518-5130
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/18/2009