Provider First Line Business Practice Location Address:
917 W 7TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OXNARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93030-6755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-487-5100
Provider Business Practice Location Address Fax Number:
805-486-3580
Provider Enumeration Date:
01/08/2007