Provider First Line Business Practice Location Address:
1815 CHINO ST
Provider Second Line Business Practice Location Address:
APT. 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:
93101-4674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-865-2231
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2012