Provider First Line Business Practice Location Address:
2400 WASHINGTON AVE STE 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:
96001-2814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-226-7419
Provider Business Practice Location Address Fax Number:
530-232-5122
Provider Enumeration Date:
12/23/2024