Provider First Line Business Practice Location Address:
222 E YANONALI ST UNIT A
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:
93101-1855
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-895-3054
Provider Business Practice Location Address Fax Number:
805-966-7756
Provider Enumeration Date:
10/17/2009