Provider First Line Business Practice Location Address:
221 LOCUST ST STE 204
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:
96001-2836
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-242-8888
Provider Business Practice Location Address Fax Number:
530-242-8889
Provider Enumeration Date:
12/15/2006