Provider First Line Business Practice Location Address:
CALIFORNIA STATE PRISON - SACRAMENTO
Provider Second Line Business Practice Location Address:
100 PRISON ROAD
Provider Business Practice Location Address City Name:
REPRESA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95671-3000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-294-3175
Provider Business Practice Location Address Fax Number:
916-294-3122
Provider Enumeration Date:
03/07/2008