Provider First Line Business Practice Location Address:
1 UNIVERSITY DR
Provider Second Line Business Practice Location Address:
CAL STATE UNIVERSITY CHANNEL ISLANDS STUDENT HEALTH
Provider Business Practice Location Address City Name:
CAMARILLO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93012-8599
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-437-8828
Provider Business Practice Location Address Fax Number:
805-437-8829
Provider Enumeration Date:
08/09/2005