Provider First Line Business Practice Location Address:
2403 CASTILLO ST
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-5316
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-6560
Provider Business Practice Location Address Fax Number:
805-563-3680
Provider Enumeration Date:
10/02/2006