Provider First Line Business Practice Location Address:
1305 DEL NORTE RD
Provider Second Line Business Practice Location Address:
#130 INTERFACE CHILDREN FAMILY SERVICES
Provider Business Practice Location Address City Name:
CAMARILLO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-485-6114
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2007