Provider First Line Business Practice Location Address:
636 RIO LINDO AVE
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:
95926-1818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-895-7777
Provider Business Practice Location Address Fax Number:
530-893-8245
Provider Enumeration Date:
06/27/2005