Provider First Line Business Practice Location Address:
2280 BENTON DR. BUILDING C, 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:
96003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-242-2020
Provider Business Practice Location Address Fax Number:
530-241-2121
Provider Enumeration Date:
02/08/2017