Provider First Line Business Practice Location Address:
5565 CARPINTERIA AVE
Provider Second Line Business Practice Location Address:
STE 1
Provider Business Practice Location Address City Name:
CARPINTERIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-284-0221
Provider Business Practice Location Address Fax Number:
805-284-0223
Provider Enumeration Date:
06/07/2018