Provider First Line Business Practice Location Address:
343 OAK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RED BLUFF
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96080-3304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-529-2567
Provider Business Practice Location Address Fax Number:
530-529-2552
Provider Enumeration Date:
04/25/2007