Provider First Line Business Practice Location Address:
38 S LA CUMBRE RD
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-5111
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-4848
Provider Business Practice Location Address Fax Number:
805-683-1447
Provider Enumeration Date:
05/29/2007