Provider First Line Business Practice Location Address:
BDC PORT HUENEME
Provider Second Line Business Practice Location Address:
720 23RD AVE. BLDG 914
Provider Business Practice Location Address City Name:
PORT HUENEME
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93043-7312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-982-5911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/13/2005