Provider First Line Business Practice Location Address:
5264 CATERPILLAR RD
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:
96003-2050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-243-3333
Provider Business Practice Location Address Fax Number:
530-242-6571
Provider Enumeration Date:
05/05/2008