Provider First Line Business Practice Location Address:
3 W CARRILLO ST
Provider Second Line Business Practice Location Address:
SUITE 217
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-3283
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-884-4989
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/27/2006