State of California Prison Industry Authority
NPI #1649487729 in Chowchilla, California
Provider Information
- NPI Number
- 1649487729
- Entity Type
- Organization
- Organization Name
- State of California Prison Industry Authority
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- May 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 23370 ROAD 22
- City
- Chowchilla
- State
- California
- ZIP Code
- 93610
- Phone
- (559) 665-6100
Authorized Official
- Name
- EARL C. SHAZTER
- Title
- BRANCH MANAGER
- Phone
- (916) 358-1721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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