Provider First Line Business Practice Location Address:
115 E MICHELTORENA ST STE 100
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:
93101-1905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-722-1181
Provider Business Practice Location Address Fax Number:
805-722-1459
Provider Enumeration Date:
04/13/2011