Provider First Line Business Practice Location Address:
1710 BARBARA RD
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:
96003-3118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-632-3100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2025