Provider First Line Business Practice Location Address:
2770 EUREKA WAY STE 100
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:
96001-0252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-222-7271
Provider Business Practice Location Address Fax Number:
530-351-7046
Provider Enumeration Date:
05/03/2006