Provider First Line Business Practice Location Address:
111 W MICHELTORENA ST
Provider Second Line Business Practice Location Address:
SUITE 320
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-3095
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-845-8770
Provider Business Practice Location Address Fax Number:
805-845-0997
Provider Enumeration Date:
07/01/2013