Provider First Line Business Practice Location Address:
2400 BATH ST STE 202
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:
93105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-3721
Provider Business Practice Location Address Fax Number:
805-682-3772
Provider Enumeration Date:
06/21/2012