Provider First Line Business Practice Location Address:
1750 E CHANNEL ISLANDS BLVD
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:
93033-5618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-486-2929
Provider Business Practice Location Address Fax Number:
480-897-6361
Provider Enumeration Date:
08/31/2006