Provider First Line Business Practice Location Address:
1310 CONTINENTAL 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:
96001-0839
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-244-0674
Provider Business Practice Location Address Fax Number:
530-244-1033
Provider Enumeration Date:
04/07/2008