Provider First Line Business Practice Location Address:
1429 LAS POSITAS PL
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:
93105-4525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-1140
Provider Business Practice Location Address Fax Number:
805-563-1140
Provider Enumeration Date:
09/26/2005