Provider First Line Business Practice Location Address:
1532 CASTILLO STREET
Provider Second Line Business Practice Location Address:
MAIN HOUSE AND UNITS A AND B
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-364-2727
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2018