Provider First Line Business Practice Location Address:
2417 CASTILLO 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:
93105-4301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-1947
Provider Business Practice Location Address Fax Number:
805-569-8772
Provider Enumeration Date:
09/17/2006