Provider First Line Business Practice Location Address:
1228 WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RED BLUFF
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96080-2325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-527-7244
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/24/2007