Provider First Line Business Practice Location Address:
1333 DE LA VINA
Provider Second Line Business Practice Location Address:
SUITE G
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-5158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-899-2944
Provider Business Practice Location Address Fax Number:
805-899-2144
Provider Enumeration Date:
01/29/2007