Provider First Line Business Practice Location Address:
1920 CALIFORNIA ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001-1943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-247-7070
Provider Business Practice Location Address Fax Number:
530-244-7246
Provider Enumeration Date:
06/14/2005