Provider First Line Business Practice Location Address:
3589 LEONARD 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:
96002-2363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-510-5058
Provider Business Practice Location Address Fax Number:
530-836-8950
Provider Enumeration Date:
10/17/2024