Provider First Line Business Practice Location Address:
2400 BATH ST STE 102
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:
93105-4351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-324-9144
Provider Business Practice Location Address Fax Number:
805-324-9143
Provider Enumeration Date:
12/15/2005