Provider First Line Business Practice Location Address:
314 E. CARRILLO STREET SUITE 7
Provider Second Line Business Practice Location Address:
SANTA BARBARA CLINIC
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-1499
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-886-4370
Provider Business Practice Location Address Fax Number:
805-845-8227
Provider Enumeration Date:
06/04/2008