Provider First Line Business Practice Location Address:
924 ANACAPA ST
Provider Second Line Business Practice Location Address:
SUITE 2H
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-9885
Provider Business Practice Location Address Fax Number:
805-682-5503
Provider Enumeration Date:
09/20/2005