Provider First Line Business Practice Location Address:
448 REDCLIFF DR
Provider Second Line Business Practice Location Address:
STE. 215
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96002-0161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-222-9237
Provider Business Practice Location Address Fax Number:
530-222-2854
Provider Enumeration Date:
04/06/2007