Provider First Line Business Practice Location Address:
1700 MARKET 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:
96001-1932
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-355-7375
Provider Business Practice Location Address Fax Number:
530-338-2188
Provider Enumeration Date:
12/06/2017