Provider First Line Business Practice Location Address:
2960 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:
96002-2312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-245-8123
Provider Business Practice Location Address Fax Number:
530-605-4902
Provider Enumeration Date:
03/02/2026