Provider First Line Business Practice Location Address:
401 CHAPALA ST STE 102
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:
93101-3496
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-1394
Provider Business Practice Location Address Fax Number:
805-682-6394
Provider Enumeration Date:
01/16/2013