Provider First Line Business Practice Location Address:
308 N MONTGOMERY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OJAI
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93023-2746
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-889-4489
Provider Business Practice Location Address Fax Number:
805-933-0322
Provider Enumeration Date:
09/26/2006