Provider First Line Business Practice Location Address:
2400 BATH 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:
93105-4351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-415-3593
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2006