Provider First Line Business Practice Location Address:
2440 CUMBERLAND DR
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:
96001-5925
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-227-3692
Provider Business Practice Location Address Fax Number:
530-244-3692
Provider Enumeration Date:
10/14/2017