Provider First Line Business Practice Location Address:
623 LAS PERLAS DR
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:
93111-1454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-964-4947
Provider Business Practice Location Address Fax Number:
805-964-4947
Provider Enumeration Date:
02/17/2009