Provider First Line Business Practice Location Address:
5434 CARPINTERIA AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARPINTERIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93013-1423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-684-5476
Provider Business Practice Location Address Fax Number:
805-684-5477
Provider Enumeration Date:
04/23/2010