Provider First Line Business Practice Location Address:
2701 OLD EUREKA WAY
Provider Second Line Business Practice Location Address:
SUITE 1E
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001-0228
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-232-3000
Provider Business Practice Location Address Fax Number:
530-232-3099
Provider Enumeration Date:
08/05/2006