Provider First Line Business Practice Location Address:
2949 LOMA VISTA RD
Provider Second Line Business Practice Location Address:
OB GYN DEPT
Provider Business Practice Location Address City Name:
VENTURA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93003-2981
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-643-8695
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2007