Provider First Line Business Practice Location Address:
708 PARRISH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VENTURA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93003-0394
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-320-6577
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/07/2026