Provider First Line Business Practice Location Address:
4570 CALLE REAL
Provider Second Line Business Practice Location Address:
CASA DEL MURAL
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93110-1306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-692-4066
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/16/2007