Provider First Line Business Practice Location Address:
226 SAN CLEMENTE 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:
93109-2132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-448-6691
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/30/2010