Provider First Line Business Practice Location Address:
320 W PUEBLO ST
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:
93105-4311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-682-3610
Provider Business Practice Location Address Fax Number:
805-682-3050
Provider Enumeration Date:
12/28/2006