Provider First Line Business Practice Location Address:
4861 FRANCES ST
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:
93111-2821
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-964-7075
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/13/2006