Provider First Line Business Practice Location Address:
2000 EMERSON AVE # B
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:
93103-1917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-551-2516
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/11/2016