Provider First Line Business Practice Location Address:
21 E CANON PERDIDO ST STE 206
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:
93101-2277
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-698-1585
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/13/2007