Provider First Line Business Practice Location Address:
2320 BATH STREET
Provider Second Line Business Practice Location Address:
SUITE 208
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-3805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-602-7744
Provider Business Practice Location Address Fax Number:
805-682-3321
Provider Enumeration Date:
05/24/2006