Provider First Line Business Practice Location Address:
26 W MISSION ST
Provider Second Line Business Practice Location Address:
#4
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-0402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-9313
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/07/2009