Provider First Line Business Practice Location Address:
1601 ESPLANADE
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:
95926-3370
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-332-7148
Provider Business Practice Location Address Fax Number:
530-893-6034
Provider Enumeration Date:
04/12/2022