Provider First Line Business Practice Location Address:
5565 CARPINTERIA AVE STE 2
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:
93013-1446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-684-4537
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/10/2006