Provider First Line Business Practice Location Address:
2417 CASTILLO ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-4301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-529-1614
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/04/2019