Provider First Line Business Practice Location Address:
121 W DE LA GUERRA ST UNIT 3
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:
93101-8226
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-433-7390
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/29/2014