Provider First Line Business Practice Location Address:
15 E ARRELLAGA ST
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2531
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-963-4404
Provider Business Practice Location Address Fax Number:
805-882-1886
Provider Enumeration Date:
10/06/2006