Provider First Line Business Practice Location Address:
350 CHAPALA ST
Provider Second Line Business Practice Location Address:
#104
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-8053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-966-0877
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/05/2006