Provider First Line Business Practice Location Address:
2922 DE LA VINA 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:
93105-3372
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-2407
Provider Business Practice Location Address Fax Number:
805-569-5673
Provider Enumeration Date:
08/25/2006