Provider First Line Business Practice Location Address:
535 SANTA BARBARA 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:
93101-1611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-551-9611
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/02/2006