CALISTA MAE VINYARD

REDDING, CA
NPI1124589197
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A20042)
Enumeration Date2019-03-30
Last Update Date2023-06-19
Business Address
CALISTA MAE VINYARD
1401 GOLD ST
REDDING, CA 96001-1958
Phone number: 408-512-7285
Mailing Address
CALISTA MAE VINYARD
280 IRONWOOD LN
REDDING, CA 96003-5345
Phone number: 408-512-7285
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