Provider First Line Business Practice Location Address:
29 W ANAPAMU ST
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93101-3149
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-681-1761
Provider Business Practice Location Address Fax Number:
805-681-1768
Provider Enumeration Date:
02/27/2006