Provider First Line Business Practice Location Address:
3310 CHURN CREEK RD STE A
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:
96002-2502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-241-1500
Provider Business Practice Location Address Fax Number:
530-243-6400
Provider Enumeration Date:
07/31/2010