Provider First Line Business Practice Location Address:
111 W MICHELTORENA ST
Provider Second Line Business Practice Location Address:
100
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-3095
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-6453
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/04/2013