Provider First Line Business Practice Location Address:
230 W PUEBLO ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-3870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-4761
Provider Business Practice Location Address Fax Number:
805-682-4211
Provider Enumeration Date:
09/12/2005