Provider First Line Business Practice Location Address:
1237 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:
96001-0618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-243-7470
Provider Business Practice Location Address Fax Number:
530-243-2893
Provider Enumeration Date:
02/19/2020