Provider First Line Business Practice Location Address:
1352 OREGON 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:
96001-1621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-229-1125
Provider Business Practice Location Address Fax Number:
530-242-5749
Provider Enumeration Date:
05/30/2008