Provider First Line Business Practice Location Address:
1551 KENDALL AVE
Provider Second Line Business Practice Location Address:
PHOENIX SCHOOL, LITTLE PHOENIX
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:
805-388-4406
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2014