Provider First Line Business Practice Location Address:
405 REDCLIFF DR
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96002-0157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-246-2467
Provider Business Practice Location Address Fax Number:
530-246-2229
Provider Enumeration Date:
10/17/2006