Provider First Line Business Practice Location Address:
2428 CASTILLO ST
Provider Second Line Business Practice Location Address:
SUITE D
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-845-1500
Provider Business Practice Location Address Fax Number:
805-845-0333
Provider Enumeration Date:
09/09/2005