Provider First Line Business Practice Location Address:
22 W MICHELTORENA ST
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-6522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-564-3715
Provider Business Practice Location Address Fax Number:
805-688-6570
Provider Enumeration Date:
11/02/2005