Provider First Line Business Practice Location Address: 
607 MIRAMONTE DR
    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: 
93109-1428
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
805-705-0269
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
07/24/2006