Provider First Line Business Practice Location Address:
1320 YUBA ST
Provider Second Line Business Practice Location Address:
SUITE 214
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001-1005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-949-8444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/16/2007