Provider First Line Business Practice Location Address:
536 E ARRELLAGA ST STE 101
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:
93103-2262
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-687-9569
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/13/2006