Provider First Line Business Practice Location Address:
451 W. GONZALES RD.
Provider Second Line Business Practice Location Address:
CARRIAGE MEDICAL PLAZA SUITE 300
Provider Business Practice Location Address City Name:
OXNARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-983-0100
Provider Business Practice Location Address Fax Number:
805-983-0937
Provider Enumeration Date:
10/02/2006