Provider First Line Business Practice Location Address:
310 HARTNELL AVE
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:
96002-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-245-2900
Provider Business Practice Location Address Fax Number:
530-221-1583
Provider Enumeration Date:
08/01/2006