Provider First Line Business Practice Location Address:
514 W PUEBLO ST
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-6207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-7751
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/01/2008