Provider First Line Business Practice Location Address:
2329 OAK PARK LN
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-8166
Provider Business Practice Location Address Fax Number:
805-682-8359
Provider Enumeration Date:
01/18/2006