Provider First Line Business Practice Location Address:
221 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:
93105-3804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-324-9707
Provider Business Practice Location Address Fax Number:
805-749-2907
Provider Enumeration Date:
04/17/2016