Provider First Line Business Practice Location Address:
2842 S MARKET 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:
96001-3215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-242-5920
Provider Business Practice Location Address Fax Number:
530-242-5924
Provider Enumeration Date:
07/19/2024