Provider First Line Business Practice Location Address:
1325 BAMBURY CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001-1339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-246-4971
Provider Business Practice Location Address Fax Number:
530-241-6847
Provider Enumeration Date:
02/08/2007