Provider First Line Business Practice Location Address:
2415 BATH 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:
93105-4324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-687-3744
Provider Business Practice Location Address Fax Number:
805-687-6048
Provider Enumeration Date:
02/14/2011