Provider First Line Business Practice Location Address:
122 S PATTERSON AVE
Provider Second Line Business Practice Location Address:
SUITE 113
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93111-2055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-967-5318
Provider Business Practice Location Address Fax Number:
805-967-3778
Provider Enumeration Date:
10/18/2005