Provider First Line Business Practice Location Address:
219 NOGALES AVE STE F
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:
93105-3848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-8153
Provider Business Practice Location Address Fax Number:
805-682-5585
Provider Enumeration Date:
05/13/2011