Provider First Line Business Practice Location Address:
222 W PUEBLO ST
Provider Second Line Business Practice Location Address:
UNIT B
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93103-3805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-0363
Provider Business Practice Location Address Fax Number:
805-563-0364
Provider Enumeration Date:
04/10/2013