Provider First Line Business Practice Location Address:
1118 N MILPAS ST
Provider Second Line Business Practice Location Address:
APT 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:
93103-2336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
574-315-7818
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2013