Provider First Line Business Practice Location Address:
30 W MISSION ST
Provider Second Line Business Practice Location Address:
#2
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-201-2909
Provider Business Practice Location Address Fax Number:
805-201-2931
Provider Enumeration Date:
07/04/2006