Provider First Line Business Practice Location Address:
21 E CARRILLO ST
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:
93101-2706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-845-4755
Provider Business Practice Location Address Fax Number:
805-845-4750
Provider Enumeration Date:
06/12/2010