Provider First Line Business Practice Location Address:
1131 HIGH RD
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:
93108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-565-9966
Provider Business Practice Location Address Fax Number:
805-565-9966
Provider Enumeration Date:
09/13/2006