Provider First Line Business Practice Location Address:
25 ARLINGTON AVE
Provider Second Line Business Practice Location Address:
APT 25
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-2628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-686-1765
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/30/2015