Provider First Line Business Practice Location Address:
106 JUANA MARIA AVE
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:
93103-2714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-898-0129
Provider Business Practice Location Address Fax Number:
805-682-0906
Provider Enumeration Date:
12/13/2007