Provider First Line Business Practice Location Address:
1320 MARICOPA HWY
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:
805-646-7211
Provider Business Practice Location Address Fax Number:
805-646-6480
Provider Enumeration Date:
10/17/2006