Provider First Line Business Practice Location Address:
3711 OASIS RD
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:
96003-0397
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-245-6750
Provider Business Practice Location Address Fax Number:
530-225-5950
Provider Enumeration Date:
12/02/2011