Provider First Line Business Practice Location Address:
1441 LIBERTY 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:
96001-0848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-224-2700
Provider Business Practice Location Address Fax Number:
530-224-2742
Provider Enumeration Date:
07/15/2009