Provider First Line Business Practice Location Address:
216 E MATILIJA ST
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:
93023-2722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-646-2020
Provider Business Practice Location Address Fax Number:
805-646-5054
Provider Enumeration Date:
07/31/2006