Provider First Line Business Practice Location Address:
520 W JUNIPERO 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:
93105-4212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-730-1470
Provider Business Practice Location Address Fax Number:
805-730-1473
Provider Enumeration Date:
07/26/2007