Provider First Line Business Practice Location Address:
2323 DE LA VINA ST STE 106
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:
93105-3878
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-3055
Provider Business Practice Location Address Fax Number:
805-682-3035
Provider Enumeration Date:
10/17/2006