Provider First Line Business Practice Location Address:
40 E ALAMAR
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
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:
805-682-4075
Provider Enumeration Date:
08/24/2006