Provider First Line Business Practice Location Address:
122 SOUTH PATTERSON AVENUE
Provider Second Line Business Practice Location Address:
SUITE 117
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-964-1116
Provider Business Practice Location Address Fax Number:
805-964-3225
Provider Enumeration Date:
03/12/2007