Provider First Line Business Practice Location Address:
533 E MICHELTORENA ST STE 204
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:
93103-2284
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-399-4050
Provider Business Practice Location Address Fax Number:
805-845-0128
Provider Enumeration Date:
09/10/2007