Provider First Line Business Practice Location Address:
PUEBLO AT BATH STREETS
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:
93102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-7510
Provider Business Practice Location Address Fax Number:
949-366-2390
Provider Enumeration Date:
12/06/2006