Provider First Line Business Practice Location Address:
122 S PATTERSON AVE #234
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:
93111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-964-0378
Provider Business Practice Location Address Fax Number:
805-964-4510
Provider Enumeration Date:
08/19/2006