Organization
DEPT. OF VETERAN'S AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE CLARK (PROGRAM DIRECTOR)
(916) 640-8050
Entity
Organization
Contact information
Practice address
351 HARTNELL AVE, REDDING, CA 96002-1845
(530) 247-7944
Mailing address
351 HARTNELL AVE, REDDING, CA 96002-1845
(530) 247-7944
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
N-45751
ID
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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