Organization
REDDING PETROLEUM INC
Active
Other names
California Tracabout
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOLORES DEIGHTON (SECRETARY)
(707) 207-0475
Entity
Organization
Contact information
Practice address
469 LOPES RD, SUITE B, FAIRFIELD, CA 94534-1623
(707) 207-0475
(707) 207-0473
Mailing address
469 LOPES RD, SUITE B, FAIRFIELD, CA 94534-1623
(707) 207-0475
(707) 207-0473
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03254F
—
CA
Enumeration date
12/13/2006
Last updated
08/22/2020
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