Provider First Line Business Practice Location Address:
1010 GARDEN 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:
93101-1417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-962-2787
Provider Business Practice Location Address Fax Number:
805-963-9139
Provider Enumeration Date:
05/30/2007