Provider First Line Business Practice Location Address:
2184 COURT ST
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:
96001-2530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-246-4444
Provider Business Practice Location Address Fax Number:
530-246-4445
Provider Enumeration Date:
07/19/2005