Provider First Line Business Practice Location Address:
315 W HALEY ST
Provider Second Line Business Practice Location Address:
#102
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-3471
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-966-3310
Provider Business Practice Location Address Fax Number:
805-966-5582
Provider Enumeration Date:
11/09/2006