Provider First Line Business Practice Location Address:
2400 S C ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OXNARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-240-7000
Provider Business Practice Location Address Fax Number:
805-486-0396
Provider Enumeration Date:
08/05/2011