Provider First Line Business Practice Location Address:
1236 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:
93101-3116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-2376
Provider Business Practice Location Address Fax Number:
805-963-6707
Provider Enumeration Date:
11/29/2006