Provider First Line Business Practice Location Address:
1202 MARICOPA HWY STE B
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:
93023-3170
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-646-6775
Provider Business Practice Location Address Fax Number:
805-646-6318
Provider Enumeration Date:
11/14/2013