Provider First Line Business Practice Location Address:
SAN QUENTIN STATE PRISON
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN QUENTIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94964
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-306-1334
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/08/2014