Provider First Line Business Practice Location Address:
850 INDUSTRIAL ST 100
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:
96002-0501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-244-2213
Provider Business Practice Location Address Fax Number:
530-244-2491
Provider Enumeration Date:
08/25/2008