Provider First Line Business Practice Location Address:
427 W PUEBLO ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93105-6206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-7336
Provider Business Practice Location Address Fax Number:
805-687-9491
Provider Enumeration Date:
07/23/2006