Provider First Line Business Practice Location Address:
300 E. FIRST ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OXNARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-486-8311
Provider Business Practice Location Address Fax Number:
805-486-3457
Provider Enumeration Date:
11/07/2006