Provider First Line Business Practice Location Address:
517 W JUNIPERO 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:
93105-4239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-979-4650
Provider Business Practice Location Address Fax Number:
805-685-2802
Provider Enumeration Date:
09/17/2014