Provider First Line Business Practice Location Address:
427 W. PUEBLO 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:
91306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-903-1980
Provider Business Practice Location Address Fax Number:
818-880-9570
Provider Enumeration Date:
04/15/2010