Provider First Line Business Practice Location Address:
1826 SONOMA 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:
96001-2535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-227-5785
Provider Business Practice Location Address Fax Number:
530-243-2307
Provider Enumeration Date:
08/25/2006