Provider First Line Business Practice Location Address:
2391 PLACER 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:
96001-1541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-903-3549
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/07/2024