Provider First Line Business Practice Location Address:
930 LAGUNA 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:
93101-1405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-564-4221
Provider Business Practice Location Address Fax Number:
805-564-3251
Provider Enumeration Date:
09/21/2006