Provider First Line Business Practice Location Address:
3009 DE LA VINA ST
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:
93105-3311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-881-2620
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/04/2008