Provider First Line Business Practice Location Address:
1158 N 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:
96001-0436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-343-4757
Provider Business Practice Location Address Fax Number:
530-343-3347
Provider Enumeration Date:
06/30/2006