Provider First Line Business Practice Location Address:
NAVAL BASE VENTURA COUNTY 720 23RD AVE NUMBER 914
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORT HUENEME
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93043-0140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-427-4035
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2013