Provider First Line Business Practice Location Address:
2175 ROSALINE AVE
Provider Second Line Business Practice Location Address:
MERCY MEDICAL CENTER MEDICAL STAFF OFFICE
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001-2509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-225-6127
Provider Business Practice Location Address Fax Number:
530-225-7283
Provider Enumeration Date:
04/12/2007