Provider First Line Business Practice Location Address:
2396 HENDERSON ROAD
Provider Second Line Business Practice Location Address:
1ST FLOOR
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-982-8959
Provider Business Practice Location Address Fax Number:
530-245-4755
Provider Enumeration Date:
07/29/2026