Provider First Line Business Practice Location Address:
504 W PUEBLO ST
Provider Second Line Business Practice Location Address:
STE. 202
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-6211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-3329
Provider Business Practice Location Address Fax Number:
805-682-3338
Provider Enumeration Date:
06/01/2015