Provider First Line Business Practice Location Address:
2411 HARTNELL AVE STE A
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:
96002-2325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-244-3500
Provider Business Practice Location Address Fax Number:
530-244-2807
Provider Enumeration Date:
04/09/2021