Provider First Line Business Practice Location Address:
1320 MARICOPA HWY STE I
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:
93023-3154
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-633-9063
Provider Business Practice Location Address Fax Number:
805-633-9068
Provider Enumeration Date:
10/07/2021