Provider First Line Business Practice Location Address:
22 N. MILPAS STREET
Provider Second Line Business Practice Location Address:
SUITE D
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-729-4403
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2014