Provider First Line Business Practice Location Address:
4690 CARPINTERIA AVE STE B
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:
93013-1875
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-770-2061
Provider Business Practice Location Address Fax Number:
805-456-0416
Provider Enumeration Date:
08/16/2013