Provider First Line Business Practice Location Address:
1616 CHAPALA ST
Provider Second Line Business Practice Location Address:
SUITE #2
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-5953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-628-2142
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2016