Provider First Line Business Practice Location Address:
504 W PUEBLO ST
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-6211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-845-5305
Provider Business Practice Location Address Fax Number:
805-845-6469
Provider Enumeration Date:
04/14/2008