Provider First Line Business Practice Location Address:
2953 STATE ST APT B
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:
93105-3426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-720-5050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/27/2007