Provider First Line Business Practice Location Address:
1532 ANACAPA 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:
93101-1929
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-9878
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2007