Provider First Line Business Practice Location Address:
2320 BATH ST STE 201
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:
93105-4344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-963-3336
Provider Business Practice Location Address Fax Number:
805-564-3332
Provider Enumeration Date:
09/27/2007