Provider First Line Business Practice Location Address:
5565 CARPINTERIA AVE
Provider Second Line Business Practice Location Address:
SUITE 21
Provider Business Practice Location Address City Name:
CARPINTERIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93013-1446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-684-5454
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2012