Provider First Line Business Practice Location Address:
221 N SALINAS 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:
93103-2829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-675-8187
Provider Business Practice Location Address Fax Number:
805-568-1449
Provider Enumeration Date:
01/18/2008