Provider First Line Business Practice Location Address:
1725 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:
96001-1718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-227-2057
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/09/2010