Provider First Line Business Practice Location Address:
450 WEST CLARA STREET
Provider Second Line Business Practice Location Address:
CLINICAS DEL CAMINO REAL INC
Provider Business Practice Location Address City Name:
OXNARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-488-0210
Provider Business Practice Location Address Fax Number:
805-488-0510
Provider Enumeration Date:
08/14/2006