Provider First Line Business Practice Location Address:
510 W PUEBLO 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:
93105-4230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-5500
Provider Business Practice Location Address Fax Number:
805-682-3295
Provider Enumeration Date:
01/24/2006