Provider First Line Business Practice Location Address:
1826 SONOMA 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:
96001-2535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-244-6500
Provider Business Practice Location Address Fax Number:
530-244-7826
Provider Enumeration Date:
09/13/2007