Provider First Line Business Practice Location Address:
10388 CANDY CANE LN
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-223-3331
Provider Business Practice Location Address Fax Number:
530-275-3245
Provider Enumeration Date:
01/13/2006