Provider First Line Business Practice Location Address:
3743 ELECTRO WAY STE B
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:
96002-9393
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-347-4288
Provider Business Practice Location Address Fax Number:
877-614-1125
Provider Enumeration Date:
10/06/2006