Provider First Line Business Practice Location Address:
2420 SONOMA 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:
96001-3033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-999-2533
Provider Business Practice Location Address Fax Number:
530-999-2532
Provider Enumeration Date:
09/09/2009