Provider First Line Business Practice Location Address:
1510 SAN ANDRES ST
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:
93101-4104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-694-4286
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2010