Provider First Line Business Practice Location Address:
1844 SOUTH 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:
96001-1809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-243-4500
Provider Business Practice Location Address Fax Number:
530-243-4554
Provider Enumeration Date:
10/08/2020