Provider First Line Business Practice Location Address:
515 E MICHELTORENA ST
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93103-2257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-963-3822
Provider Business Practice Location Address Fax Number:
805-963-6813
Provider Enumeration Date:
08/09/2005