Provider First Line Business Practice Location Address:
309 W QUINTO 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:
93105-5318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-0955
Provider Business Practice Location Address Fax Number:
805-682-1314
Provider Enumeration Date:
05/24/2007