Provider First Line Business Practice Location Address:
2412 CHAPALA 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:
93105-3911
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-5658
Provider Business Practice Location Address Fax Number:
805-687-2840
Provider Enumeration Date:
07/14/2006