Provider First Line Business Practice Location Address:
950 BUTTE 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:
96001-0827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-223-2500
Provider Business Practice Location Address Fax Number:
530-241-1408
Provider Enumeration Date:
09/13/2005