Provider First Line Business Practice Location Address:
2410 FLETCHER AVE FL 3
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:
93105-4876
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-770-9186
Provider Business Practice Location Address Fax Number:
805-261-5345
Provider Enumeration Date:
11/01/2006