Provider First Line Business Practice Location Address:
510 CASTILLO ST STE 302
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:
93101-3406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-690-9229
Provider Business Practice Location Address Fax Number:
628-225-4409
Provider Enumeration Date:
09/06/2006