Provider First Line Business Practice Location Address:
1752 TEHAMA 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:
96001-1615
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-241-4622
Provider Business Practice Location Address Fax Number:
530-509-1511
Provider Enumeration Date:
05/23/2024