Provider First Line Business Practice Location Address:
1035 PLACER 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:
96001-1125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-246-5710
Provider Business Practice Location Address Fax Number:
530-241-7838
Provider Enumeration Date:
08/11/2006