Provider First Line Business Practice Location Address:
325 W. 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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-204-9520
Provider Business Practice Location Address Fax Number:
805-240-2128
Provider Enumeration Date:
06/16/2010