Provider First Line Business Practice Location Address:
2770 EUREKA WAY STE 100
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:
96001-0252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-241-1900
Provider Business Practice Location Address Fax Number:
530-241-2489
Provider Enumeration Date:
08/26/2008