Provider First Line Business Practice Location Address:
430 EAST GUITERREZ STREET
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:
93103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-7490
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/17/2010