Provider First Line Business Practice Location Address:
2425 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:
96001-3026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-241-1144
Provider Business Practice Location Address Fax Number:
253-024-1114
Provider Enumeration Date:
10/11/2006