Provider First Line Business Practice Location Address:
822 E CANON PERDIDO ST UNIT 2
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:
93103-3059
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-403-0270
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/16/2006