Provider First Line Business Practice Location Address:
7433 PACHECO RD
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:
96002-4665
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-224-4589
Provider Business Practice Location Address Fax Number:
530-224-4595
Provider Enumeration Date:
06/13/2007