Provider First Line Business Practice Location Address:
1280 MCANDREW RD
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:
93023-9329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-640-8819
Provider Business Practice Location Address Fax Number:
805-640-0321
Provider Enumeration Date:
03/19/2007