Provider First Line Business Practice Location Address:
1531 CHAPALA ST
Provider Second Line Business Practice Location Address:
STE 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:
93101-3047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-560-8119
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2006