Provider First Line Business Practice Location Address:
2160 COURT 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:
96001-2530
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-244-2663
Provider Business Practice Location Address Fax Number:
530-244-4309
Provider Enumeration Date:
02/13/2008