Provider First Line Business Practice Location Address:
2701 OLD EUREKA WAY STE 2M
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:
96001-0228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-241-2284
Provider Business Practice Location Address Fax Number:
530-241-2794
Provider Enumeration Date:
09/27/2006