Provider First Line Business Practice Location Address:
122 S PATTERSON AVE
Provider Second Line Business Practice Location Address:
#109
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:
805-964-4759
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2006