Provider First Line Business Practice Location Address:
206 W ANAPAMU ST
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:
93101-3605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-963-9429
Provider Business Practice Location Address Fax Number:
805-963-1189
Provider Enumeration Date:
08/31/2006