Provider First Line Business Practice Location Address:
22 W MICHELTORENA ST STE A
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:
93101-6526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-568-1519
Provider Business Practice Location Address Fax Number:
805-845-3464
Provider Enumeration Date:
01/23/2009