Provider First Line Business Practice Location Address:
2505 CASTILLO ST UNIT A
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:
93105-4303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-377-3913
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/28/2016