Provider First Line Business Practice Location Address:
510 CASTILLO ST
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-3406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-453-4158
Provider Business Practice Location Address Fax Number:
805-568-1680
Provider Enumeration Date:
08/08/2006