Provider First Line Business Practice Location Address:
1500 CADET RD
Provider Second Line Business Practice Location Address:
TAFT CORRECTIONAL INSTITUTION, HEALTH SERVICES UNIT
Provider Business Practice Location Address City Name:
TAFT
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93268-4800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-763-2510
Provider Business Practice Location Address Fax Number:
661-765-3010
Provider Enumeration Date:
05/02/2007