Provider First Line Business Practice Location Address:
286 SO. 16TH ST
Provider Second Line Business Practice Location Address:
SAN LUIS OBISPO COUNTY HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
GROVER BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-473-7038
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/01/2007