Provider First Line Business Practice Location Address:
2100 NAPA VALLEJO HWY
Provider Second Line Business Practice Location Address:
DEPARTMENT OF STATE HOSPITALS
Provider Business Practice Location Address City Name:
NAPA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94558-6234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-651-8906
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2008