Provider First Line Business Practice Location Address:
816 N MILPAS 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:
93103-3031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-8284
Provider Business Practice Location Address Fax Number:
805-962-0429
Provider Enumeration Date:
02/14/2013