Provider First Line Business Practice Location Address:
1532 ANACAPA STREET
Provider Second Line Business Practice Location Address:
SUITE 1
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-892-4141
Provider Business Practice Location Address Fax Number:
805-965-6990
Provider Enumeration Date:
11/02/2012