Provider First Line Business Practice Location Address:
2403 CASTILLO ST STE 206
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-898-8840
Provider Business Practice Location Address Fax Number:
805-898-8842
Provider Enumeration Date:
09/20/2005