Provider First Line Business Practice Location Address:
315 W CARRILLO ST
Provider Second Line Business Practice Location Address:
#101
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-6904
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-963-8156
Provider Business Practice Location Address Fax Number:
805-963-8156
Provider Enumeration Date:
11/10/2011