Provider First Line Business Practice Location Address:
114 E HALEY ST
Provider Second Line Business Practice Location Address:
STE D
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-962-1004
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/24/2007