Provider First Line Business Practice Location Address:
2416 CASTILLO ST STE C
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:
93105-5305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-5588
Provider Business Practice Location Address Fax Number:
805-618-2688
Provider Enumeration Date:
12/17/2018