Provider First Line Business Practice Location Address:
1400 CALIFORNIA 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:
96001-1004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-225-3854
Provider Business Practice Location Address Fax Number:
530-225-3844
Provider Enumeration Date:
04/17/2007