Provider First Line Business Practice Location Address:
2025 COURT ST STE D
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:
96001-1805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-225-8898
Provider Business Practice Location Address Fax Number:
530-246-7366
Provider Enumeration Date:
10/04/2024