Provider First Line Business Practice Location Address:
3375 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:
96001-2364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-241-7328
Provider Business Practice Location Address Fax Number:
530-241-7605
Provider Enumeration Date:
06/14/2006