Provider First Line Business Practice Location Address:
539 VIA RUEDA
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:
93110-2041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-964-7593
Provider Business Practice Location Address Fax Number:
805-964-7593
Provider Enumeration Date:
01/16/2007