Provider First Line Business Practice Location Address:
3305 PLACER STREET
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:
96001-2364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-241-9199
Provider Business Practice Location Address Fax Number:
530-241-7646
Provider Enumeration Date:
07/01/2006