Provider First Line Business Practice Location Address:
1755 AIRPORT BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RED BLUFF
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-527-7200
Provider Business Practice Location Address Fax Number:
530-527-9308
Provider Enumeration Date:
09/03/2024