Provider First Line Business Practice Location Address:
923 LAGUNA ST
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-1465
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-560-7690
Provider Business Practice Location Address Fax Number:
805-683-5634
Provider Enumeration Date:
06/27/2008