Provider First Line Business Practice Location Address:
924 ANACAPA ST
Provider Second Line Business Practice Location Address:
SUITE B3
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-560-0111
Provider Business Practice Location Address Fax Number:
805-258-5132
Provider Enumeration Date:
03/23/2012