Provider First Line Business Practice Location Address:
100 W 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:
93101-3215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-564-7070
Provider Business Practice Location Address Fax Number:
805-564-7670
Provider Enumeration Date:
02/16/2015