Provider First Line Business Practice Location Address:
PEUBLO AT BATH 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:
93105-4390
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-569-7279
Provider Business Practice Location Address Fax Number:
805-569-8279
Provider Enumeration Date:
07/18/2005