Provider First Line Business Practice Location Address:
1423 PARK PL
Provider Second Line Business Practice Location Address:
#10
Provider Business Practice Location Address City Name:
SANTA BARBARA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93103-2978
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-965-6884
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2007