Provider First Line Business Practice Location Address:
3550 EUREKA WAY
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-243-3300
Provider Business Practice Location Address Fax Number:
530-246-9174
Provider Enumeration Date:
11/06/2009