Provider First Line Business Practice Location Address:
7018 BLAIR RD
Provider Second Line Business Practice Location Address:
MEDICAL DEPARTMENT, CALIPATRIA STATE PRISON
Provider Business Practice Location Address City Name:
CALIPATRIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92233
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-348-7000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2006