Provider First Line Business Practice Location Address:
225 W PUEBLO ST # A
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:
93105-3804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-222-0004
Provider Business Practice Location Address Fax Number:
805-682-1730
Provider Enumeration Date:
02/11/2015