Provider First Line Business Practice Location Address:
2421 BATH 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:
93105-4324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-563-0167
Provider Business Practice Location Address Fax Number:
805-563-0257
Provider Enumeration Date:
08/29/2006